Jackson Orthopedic and Spine Clinic

NPI #1366832883 in Jackson, Kentucky

Provider Information

NPI Number: 1366832883
Entity Type: Organization
Organization Name: Jackson Orthopedic and Spine Clinic
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 4, 2015
Last Updated: Feb 4, 2015

Practice Location

Address: 832 HIGHWAY 15 N
City: Jackson
State: Kentucky
ZIP Code: 41339-8284
Phone: (606) 568-9921

Authorized Official

Name: GIRIRAJ GUPTA, MD
Title: OWNER
Phone: (606) 568-9921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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