| NPI | 1184312589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |