Organization
POPHEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RAGSDALE CPCS (CREDENTIALING SUPERVISOR)
(615) 905-6944
Entity
Organization
Contact information
Practice address
532 RIVERSIDE AVE, RIVERSIDE COMPLEX, 8 CENTER, JACKSONVILLE, FL 32202
(800) 793-7050
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(615) 905-6944
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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