Podiatry Clinic Of Jackson Pllc

Specialty details in registry · Jackson, TN

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At a glance

657 Skyline Dr, Jackson, TN 38301-3903

NPPES record updated Oct 4, 2016. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

657 Skyline Dr Ste A
Jackson, TN 38301-3903
Professional details: NPI, taxonomy & registry record
NPI1033560826
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
213EP1101X
Enumeration date
Jun 23, 2016
Record updated
Oct 4, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Podiatrist

213E00000X

License reported: DPM213 TN

Specialty details in registry

213EP1101X · Primary

License reported: DPM213 TN

Specialty details in registry

213ER0200X

License reported: DPM213 TN

Specialty details in registry

213ES0131X

License reported: DPM213 TN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

657 Skyline Dr
Ste A
Jackson, TN 38301-3903
Phone
(731) 427-5581
Fax
(731) 427-8257
Mailing address
657 SKYLINE DR
STE A
JACKSON, TN 383013903
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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