Mid-South Perinatal Associates PC
Obstetrics & Gynecology, Maternal & Fetal Medicine in Jackson, TN. Organization (NPI-2).
NPI number1780608331
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1780608331
- Entity type
- Organization (NPI-2)
- Legal business name
- Mid-South Perinatal Associates PC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- Jun 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | – | – | Yes |
Practice location
620 Skyline Dr.Jackson, TN 38301
Phone 731-541-6939 · Fax 731-541-6836
Mailing address
P.O. Box 11505Jackson, TN 38308
Phone 731-541-6939 · Fax 731-541-6836
Authorized official
Nathan J Hoeldtke
President/ Ceo
7315416836
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