Organization
OPTIMUM MEN'S HEALTH PLLC
Active
Other names
Optimum Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JARRELL PA-C (OWNER, PHYSICIAN ASSISTANT)
(615) 490-5357
Entity
Organization
Contact information
Practice address
131 MAPLE ROW BLVD STE D400, HENDERSONVILLE, TN 37075-3777
(615) 991-3158
Mailing address
131 MAPLE ROW BLVD STE D400, HENDERSONVILLE, TN 37075-3777
(615) 991-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA1487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533293
—
TN
Enumeration date
08/23/2018
Last updated
08/23/2018
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