Organization
JEFFERSON PULMONARY GROUP
Active
Parent organization
MERCY PHYSICIAN SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PHYSICIAN SERVICES
Authorized official
SUSANNE NELMS (PRACTICE ADMINISTRATOR/DIRECTOR)
(865) 549-4892
Entity
Organization
Contact information
Practice address
120 HOSPITAL DR STE 220, JEFFERSON CITY, TN 37760-5286
(865) 471-2700
(865) 471-2704
Mailing address
120 HOSPITAL DR STE 220, JEFFERSON CITY, TN 37760-5286
(865) 471-2700
(865) 471-2704
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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