MOORESVILLE PPM LLC

MOORESVILLE, NC
NPI1700028982
Entity TypeOrganization
Authorized ContactJENNIFER L JACKSON
Sr Dir Prov Enrollment & Onboarding
615-465-3334
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207XS0106X Orthopaedic Surgery, Hand Surgery
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
207XX0005X Orthopaedic Surgery, Sports Medicine
207X00000X Orthopaedic Surgery
(Licence: NC  22538)
207QS0010X Family Medicine, Sports Medicine
207R00000X Internal Medicine
208000000X Pediatrics
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
208100000X Physical Medicine & Rehabilitation
208600000X Surgery
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2009-04-02
Last Update Date2022-01-14
Business Address
MOORESVILLE PPM LLC
131 MEDICAL PARK RD SUITE 302
MOORESVILLE, NC 28117-8522
Phone number: 704-660-4750
Mailing Address
MOORESVILLE PPM LLC
4000 MERIDIAN BLVD
FRANKLIN, TN 37067-6325
Phone number: 615-465-7000