Organization
JACKSON SQUARE FAMILY HEALTHCARE IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES A SWAUNCY M.D. (CEO)
(615) 793-9900
Entity
Organization
Contact information
Practice address
6001 JACKSON SQUARE BLVD STE 100, LA VERGNE, TN 37086-2776
(615) 793-9900
(615) 793-9990
Mailing address
6001 JACKSON SQUARE BLVD STE 100, LA VERGNE, TN 37086-2776
(615) 793-9900
(615) 793-9990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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