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Contact Information

JACK T PEARSON, MD
1602 HATCHER LANE
COLUMBIA, TN38401
 Phone: 931-377-0777
 Fax: 931-388-1548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JACK T PEARSON · (Male)

NPI Number 1518901131
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 05/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD15598
  • TN Medicaid 3403473
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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