Tatum Medical Clinic

NPI #1912138967 in Jackson, Mississippi

Provider Information

NPI Number: 1912138967
Entity Type: Organization
Organization Name: Tatum Medical Clinic
Primary Specialty: Internal Medicine
Enumeration Date: Aug 6, 2009
Last Updated: Aug 6, 2009

Practice Location

Address: 5903 RIDGEWOOD RD STE 330
City: Jackson
State: Mississippi
ZIP Code: 39211-3702
Phone: (601) 421-3454

Authorized Official

Name: DR. ROBERT E TATUM, M.D.
Title: MANAGER
Phone: (601) 421-3454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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