| NPI | 1629026133 |
|---|---|
| Doing Business As | GATEWAY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Onboarding & Prov Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-03-18 |