Healthcare Provider Details

I. General information

NPI: 1528240256
Provider Name (Legal Business Name): PHYSICIANS QUALITY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 PLEASANT PLAINS EXT
JACKSON TN
38305
US

IV. Provider business mailing address

PO BOX 12197
JACKSON TN
38308-0136
US

V. Phone/Fax

Practice location:
  • Phone: 731-984-8400
  • Fax:
Mailing address:
  • Phone: 731-984-8400
  • Fax: 731-984-8305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES W HOPPERS JR.
Title or Position: OWNER
Credential: MD
Phone: 731-984-8400