Pathway Healthcare Tennessee LLC
Anesthesiology, Addiction Medicine in Jackson, TN. Organization (NPI-2).
NPI number1003355652
StatusActive
Last updated in NPPESFeb 15, 2017
Details
- NPI
- 1003355652
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathway Healthcare Tennessee LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2017
- Last updated
- Feb 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LA0401X | Anesthesiology, Addiction Medicine | – | – | Yes |
Practice location
37 Sandstone CirSuite 92
Jackson, TN 38305-2089
Phone 205-921-5556
Mailing address
37 Sandstone CirSuite 92
Jackson, TN 38305-2089
Authorized official
Scott Olson
Ceo
2145228292
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