| NPI | 1588962922 |
|---|---|
| Doing Business As | GCMG-ENGLEWOOD |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-03-15 |