Organization
JEFFERSON PULMONARY GROUP
Active
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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