Plastic Surgery Clinic of Jackson, PC

NPI #1538363825 in Jackson, Tennessee

Provider Information

NPI Number: 1538363825
Entity Type: Organization
Organization Name: Plastic Surgery Clinic of Jackson, PC
Primary Specialty: Specialist
Enumeration Date: Jun 12, 2007
Last Updated: Aug 8, 2007

Practice Location

Address: 10 LYNOAK CV
City: Jackson
State: Tennessee
ZIP Code: 38305-2800
Phone: (731) 668-2490

Authorized Official

Name: DR. MARSHALL R YELLEN, M.D.
Title: PHYSICIAN
Phone: (731) 668-2490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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