NPI | 1780365684 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Director Provider Enrollment 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-07-25 |