SearchMississippi122300000X

Jerry Tankersley, D.M.D

NPI 1710111034 · on the registry since 2009

Practice

Address
800 Ohio Ave
Clarksdale, MS 38614
Phone
(662) 624-4292
Fax
(662) 627-3629
Organisation at this address
Aaron E Henry Community Health
Aaron E. Henry Community Health Services Center, Inc
Aaron E. Henry Community Health Services Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi