Organization
JACKSONVILLE HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
501 S RAGSDALE ST, JACKSONVILLE, TX 75766-2434
(903) 541-5083
(903) 541-5068
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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