OrganizationActive
Madison Family Practice
NPI 1366643074 · Legal Medicine · Madison, TN
Provider details
- NPI number
- 1366643074
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- John Jordan, Owner(615) 868-6464
- License
- MC023806 (TN)
Specialties & taxonomies
Other Service Providers
Practice location
1035 E Old Hickory Blvd
Madison, TN 37115-4160
Phone: (615) 868-6464
Fax: (615) 868-7986
Approximate (ZIP-level) locationGet directions
Mailing address
1035 E Old Hickory Blvd
Madison, TN 37115-4160
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2010-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.