| NPI | 1366485617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enroll & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-01-12 |