| Organization Name: | JACKSON RADIOLOGY ASSOCIATES PA |
| NPI Number: | 1699700716 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY BRUNO (PRESIDENT) |
| Mailing Address: | 620 Skyline Dr Jackson |
| State: | TN US |
| Postal Code: | 383013901 |
| Phone Number: | 7315416174 |
| Fax Number: | 7314256274 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |