Organization
EVERNORTH CARE PROVIDERS - TENNESSEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE D LAKES (SENIOR PARLALEGAL)
(954) 446-0640
Entity
Organization
Contact information
Practice address
2700 CORPORATE DR STE 200, BIRMINGHAM, AL 35242-2733
(773) 292-4800
(312) 564-4059
Mailing address
730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN 37067-7331
(773) 292-4800
(312) 564-4059
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
07/14/2025
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