Jackson OB-GYN Associates, P.C.

Organization Active NPI Specialist · Jackson, TN

NPI 1194914697 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1194914697
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
JACKSON OB-GYN ASSOCIATES, P.C.
Practice address
8 Medical Center Dr
Jackson, TN 38301-3947
Phone
(731) 427-9601
Fax
(731) 427-4334
NPI assigned
Oct 20, 2007
Organization subpart
No

Authorized official

Name
Dr. Clarence Terry Gooch, M.D.
Title
President/Physician
Phone
(731) 427-9601

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

701 Medical Park Dr
Humboldt, TN 38343
Phone (731) 784-4300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X TN Yes

Addresses

Primary practice location

8 Medical Center Dr
Jackson, TN 38301-3947

Mailing address

PO Box 636
Jackson, TN 38302-0636
Phone (731) 427-9601

Other providers in Jackson, TN

All providers in Jackson, TN · Specialist in Tennessee

Sources for this page

Verify at the official NPI Registry.