Mercy Clinic of Jackson, Pllc

NPI #1306047105 in Jackson, Kentucky

Provider Information

NPI Number: 1306047105
Entity Type: Organization
Organization Name: Mercy Clinic of Jackson, Pllc
Primary Specialty: Specialist
Enumeration Date: May 30, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 1550 HIGHWAY 15 S
Address 2: SUITE 80
City: Jackson
State: Kentucky
ZIP Code: 41339-7247
Phone: (606) 693-0343

Authorized Official

Name: SUSAN PRATT
Title: CLINIC MANAGER
Phone: (606) 693-0343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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