# RUTHERFORD COUNTY MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Square Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306929005
- **Authorized official:** MOSES A SWAUNCY MD (DR)
- **Authorized official phone:** (615) 793-9900

## Contact information

- **Practice address:** 6001 JACKSON SQ, SUITE 100 FAMILY HEALTHCARE, LA VERGNE, TN 37086
- **Practice address phone:** (615) 793-9900
- **Practice address fax:** (615) 793-9990
- **Mailing address:** 6001 JACKSON SQUARE BLVD, SUITE 100, LA VERGNE, TN 37086-2767
- **Mailing address phone:** (615) 793-9900
- **Mailing address fax:** (615) 793-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020