| NPI | 1962713248 |
|---|---|
| Doing Business As | PHYSICIANS REGIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-03-09 |