| NPI | 1730551714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-01-14 |