Organization
FAITH HEALTH CENTER
Active
Other names
FAITH HEALTHCENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M LARSEN M.D. (DIRECTOR)
(731) 215-2500
Entity
Organization
Contact information
Practice address
655 LEXINGTON AVE, JACKSON, TN 38301-5075
(731) 215-2500
(731) 215-2500
Mailing address
655 LEXINGTON AVENUE, JACKSON, TN 38301
(731) 215-2500
(731) 215-2501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9731
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189311
—
TN
Enumeration date
07/27/2010
Last updated
03/17/2018
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