DAISY T ANTIQUE MD

WEST TENNESSEE MEDICAL GROUP, INC

Dr DAISY T ANTIQUE MD is a female medical professional, specializing in Internal Medicine. She graduated in 1981.

Contact

WEST TENNESSEE MEDICAL GROUP, INC

620 SKYLINE DR
JACKSON
TN
383013923

Tel: 7315415000

DAISY T ANTIQUE MD Information

Npi 1447227939
Pac Id 1153336854
Professional Enrollment Id I20060216000468
Last Name ANTIQUE
First Name DAISY
Middle Name T
Suffix
Gender F
Credential MD
Medical School Name OTHER
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WEST TENNESSEE MEDICAL GROUP, INC
Group Practice Pac Id 3971781006
Number Of Group Practice Members 112
Line 1 Street Address 620 SKYLINE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JACKSON
State TN
Zip Code 383013923
Phone Number 7315415000
Hospital Affiliation Ccn 1 440002
Hospital Affiliation Lbn 1 JACKSON-MADISON COUNTY GENERAL HOSPITAL
Hospital Affiliation Ccn 2 440016
Hospital Affiliation Lbn 2 BAPTIST MEMORIAL HOSPITAL HUNTINGDON
Hospital Affiliation Ccn 3 440061
Hospital Affiliation Lbn 3 VOLUNTEER COMMUNITY HOSPITAL
Hospital Affiliation Ccn 4 440060
Hospital Affiliation Lbn 4 MILAN GENERAL HOSPITAL
Hospital Affiliation Ccn 5 440072
Hospital Affiliation Lbn 5 DYERSBURG REGIONAL MEDICAL CENTER
Professional Accepts Medicare Assignment Y

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