| NPI | 1104498286 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | GULF COAST NEUROLOGY |
| 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 | 204F00000X Transplant Surgery |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-03-14 |