| NPI | 1871548651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207Q00000X Family Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208D00000X General Practice | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-03-16 |