| NPI | 1912216532 |
|---|---|
| Doing Business As | JACKSON PURCHASE FAMILY AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DENIS MILLER Regional Director 615-934-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |