| NPI | 1891367074 |
|---|---|
| Doing Business As | GULF COAST MEDICAL GROUP - CARDIOTHORACIC SURGERY ASSOCIATES |
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-03-15 |