| NPI | 1427001759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director, Enrollment 877-892-9815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208M00000X Hospitalist | |
| 246X00000X Specialist/Technologist Cardiovascular | |
| 2472E0500X Technician, Other EEG | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-07-21 |