| NPI | 1093609612 |
|---|---|
| Doing Business As | JACKSON PURCHASE PRIMARY CARE - SOUTHSIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LAWRENCE Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |