National Provider Identifier Database

MADISON FAMILY PRACTICE
Rural Health


Contact Information

MADISON FAMILY PRACTICE
621 OLD HICKORY BLVD
SUITE G
JACKSON, TN38305-2907
Phone: 731-660-6402
Fax: 731-660-6402
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for MADISON FAMILY PRACTICE

NPI Number 1407086101
Legal business name
LBN
MADISON FAMILY PRACTICE
Authorized official HEATHER MCFARLAND - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/16/2009
Last updated 04/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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