| NPI | 1194823476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director/Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ARNP 9221160) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-03-08 |