| NPI | 1669778338 |
|---|---|
| Doing Business As | STONES RIVER REGIONAL IPA |
| Entity Type | Organization |
| Authorized Contact | SUSAN VANDAGRIFF Credentialing Manager 615-869-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-12-20 |