NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104816966 |   |   |   | JACKSON-MADISON COUNTY GENERAL HOSPITAL | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 |
1285908210 | HIGGS | BOBBY | CLARK |   | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 |
1720067283 | KOONCE | EDWARD | D |   | 1804 HIGHWAY 45 BYP STE 100 | JACKSON | TN | 383054436 |