| NPI | 1306143649 |
|---|---|
| Doing Business As | GCMG-VENICE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2022-03-14 |