Daisy Tan Antique is a Internal Medicine Physician based in Jackson, TN. Daisy Tan Antique practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Daisy Tan Antique is 1447227939 and holds a License No. 39516 (Tennessee).
The current practice location address for Daisy Tan Antique is 708 W Forest Ave, Jackson, TN and can be reached out via phone at 731-660-8759 and via fax at 731-660-8739. You can also correspond with Daisy Tan Antique through the mailing address at 1804 HIGHWAY 45 BYP, JACKSON, TN - 38305-4436 (mailing address contact number: 731-660-8759).
Identifier | Type | State | Issuer |
---|---|---|---|
P00364407 | 01 | RR MEDICARE | |
3337042 | 05 | TN | |
4118140 | 01 | BCBS |
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