Mary Jane Jamieson

Organization Active NPI Family Medicine Physician · MC Minnville, TN

NPI 1154595767 · NPPES record last updated Apr 15, 2008

Key facts

NPI
1154595767
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD0000029552 (TN)
Legal business name
MARY JANE JAMIESON
Practice address
1589 Sparta St Ste 305
MC Minnville, TN 37110-1389
Phone
(931) 815-8991
Fax
(931) 815-8966
NPI assigned
Apr 15, 2008
Organization subpart
No

Authorized official

Name
Mary Jane Jamieson
Title
Owner
Phone
(931) 815-8991

National Provider Directory

Locations

1589 Sparta St
Ste 305
McMinnville, TN 37110
Phone (931) 506-5031

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X MD0000029552 TN Yes

Addresses

Primary practice location

1589 Sparta St Ste 305
MC Minnville, TN 37110-1389

Mailing address

1589 Sparta St Ste 305
MC Minnville, TN 37110-1389
Phone (931) 815-8991

Other providers in MC Minnville, TN

All providers in MC Minnville, TN · Family Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.