OrganizationActive
45 Urgent Care, P.C.
NPI 1912326539 · Family Medicine Physician · Jackson, TN
Provider details
- NPI number
- 1912326539
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Bone, President(731) 664-6998
- License
- 34403 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
149 N Star Dr
Jackson, TN 38305-5634
Phone: (731) 554-0571
Fax: (731) 664-7161
Approximate (ZIP-level) locationGet directions
Mailing address
2012 Greystone Sq
Jackson, TN 38305-3575
Registry dates
- Enumerated
- 2014-04-10
- Last updated
- 2015-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.