| NPI | 1194053264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2022-03-18 |