| NPI | 1396051660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM JACKSON Physician/Owner 615-446-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD10781) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |