Organization
JAY MICHAEL TRUSSLER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE SAIN (PRACTICE MANAGER)
(931) 728-9000
Entity
Organization
Contact information
Practice address
585 INTERSTATE DR, SUITE B, MANCHESTER, TN 37355-3191
(931) 728-9000
(931) 728-2726
Mailing address
585 INTERSTATE DR, SUITE B, MANCHESTER, TN 37355-3191
(931) 728-9000
(931) 728-2726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1634
TN
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730274
—
TN
Enumeration date
09/21/2007
Last updated
04/28/2022
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