| NPI | 1407865785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A JACKSON Owner 615-494-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD38872) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-06-11 |