# PATHWAY HEALTHCARE TENNESSEE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003355652
- **Authorized official:** SCOTT OLSON (CEO)
- **Authorized official phone:** (214) 522-8292

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017
