| NPI | 1518636927 |
|---|---|
| Doing Business As | SANTA ROSA MEDICAL GROUP CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dr Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-03-16 |