| NPI | 1801235445 |
|---|---|
| Doing Business As | SANTA ROSA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-03-16 |