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Patricia Renee Obi, MD
Specialist in Jackson, Tennessee
NPI 1043213150

Patricia Renee Obi is a Specialist based in Jackson, TN. Patricia Renee Obi practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Patricia Renee Obi is 1043213150 and holds a License No. 017895 (Tennessee).

The current practice location address for Patricia Renee Obi is 168 W University Pkwy, Jackson, TN and can be reached out via phone at 731-512-0043 and via fax at 731-512-0015.

Location: 168 W University Pkwy, Jackson, TN, 38305-1624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043213150
Provider Name
Patricia Renee Obi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
168 W University Pkwy, Jackson, TN, 38305-1624
Phone Number
731-512-0043
Fax Number
731-512-0015
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3377799 05 TN
621861114 01 TN TAX ID
institution
Provider Business Practice Location Address Details
Address
168 W University Pkwy
City
Jackson
State
Tennessee
Zip
38305-1624
Phone Number
731-512-0043
Fax Number
731-512-0015
person
Provider Business Mailing Address Details
Address
168 W University Pkwy
City
Jackson
State
Tennessee
Zip
38305-1624
Phone Number
731-512-0043
Fax Number
731-512-0015
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
017895 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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