| NPI | 1235807264 | 
|---|---|
| Doing Business As | PHYSICIANS REGIONAL MEDICAL GROUP-COLLIER | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER L JACKSON Sr Dr Prov Enrollment & Onboarding 615-465-3334  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical | 
| Enumeration Date | 2021-09-03 | 
| Last Update Date | 2022-03-09 |