| NPI | 1265618904 |
|---|---|
| Doing Business As | EAST JACKSON CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY LUNN Member 615-425-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-10-20 |