| NPI | 1881363182 |
|---|---|
| Doing Business As | CRESTVIEW PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-03-18 |