| NPI | 1922300201 |
|---|---|
| Doing Business As | PHYSICIAN REGIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2022-03-09 |