| NPI | 1427620988 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | RESTORE MEDICAL PARTNERS LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-03-15 |