NPI | 1639741705 |
---|---|
Doing Business As | GULF COAST MEDICAL GROUP INTERNAL MEDICINE TUSCANY |
Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-07-16 |
Last Update Date | 2022-03-15 |