| NPI | 1538443973 |
|---|---|
| Doing Business As | STATESVILLE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JENNY L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2022-01-14 |