Pulmonary Medicine Clinic of Jackson, PC

NPI #1245315860 in Jackson, Tennessee

Provider Information

NPI Number: 1245315860
Entity Type: Organization
Organization Name: Pulmonary Medicine Clinic of Jackson, PC
Primary Specialty: Specialist
Enumeration Date: Oct 25, 2006
Last Updated: Jul 21, 2015

Practice Location

Address: 96 PHYSICIANS DR
City: Jackson
State: Tennessee
ZIP Code: 38305-2070
Phone: (731) 664-8771

Authorized Official

Name: DR. LARRY W CARRUTH, M.D.
Title: PRESIDENT
Phone: (731) 664-8771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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