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Organization

PATHWAY HEALTHCARE TENNESSEE LLC

Active
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Organization

PATHWAY HEALTHCARE TENNESSEE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT OLSON (CEO)
(214) 522-8292
Entity
Organization

Contact information

Practice address
37 SANDSTONE CIR, SUITE 92, JACKSON, TN 38305-2089
(205) 921-5556
Mailing address
37 SANDSTONE CIR, SUITE 92, JACKSON, TN 38305-2089

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
—
NULL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
—
—

Other

Enumeration date
02/15/2017
Last updated
02/15/2017
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