Madison Kidney Clinic

NPI #1942445994 in Jackson, Tennessee

Provider Information

NPI Number: 1942445994
Entity Type: Organization
Organization Name: Madison Kidney Clinic
Primary Specialty: Specialist
Enumeration Date: Dec 4, 2008
Last Updated: Dec 4, 2008

Practice Location

Address: 16 MURRAY GUARD DR
City: Jackson
State: Tennessee
ZIP Code: 38305-3750
Phone: (731) 668-4337

Authorized Official

Name: MS. TERESA LYNN COLLIS
Title: OFFICE MANAGER
Phone: (731) 668-4337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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