| NPI | 1083287395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 208D00000X General Practice | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-03-16 |