| Jefferson Pulmonary Group | |
|
120 Hospital Dr Ste 220 Jefferson City TN 37760-5286 | |
| (865) 471-2700 | |
| (865) 471-2704 |
| Full Name | Jefferson Pulmonary Group |
|---|---|
| Speciality | Clinic/center |
| Location | 120 Hospital Dr Ste 220, Jefferson City, Tennessee |
| Authorized Official Name and Position | Susanne Nelms (PRACTICE ADMINISTRATOR/DIRECTOR) |
| Authorized Official Contact | 8655494892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Pulmonary Group 120 Hospital Dr Ste 220 Jefferson City TN 37760-5286 Ph: (865) 471-2700 | Jefferson Pulmonary Group 120 Hospital Dr Ste 220 Jefferson City TN 37760-5286 Ph: (865) 471-2700 |
| NPI Number | 1942528930 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942528930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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