| NPI | 1215214127 |
|---|---|
| Doing Business As | MOORESVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enroll & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2022-01-14 |