Baptist Primary & Senior Healthcare Clinic Jefferson City
NPI #1962637231 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1962637231
- Entity Type
- Organization
- Organization Name
- Baptist Primary & Senior Healthcare Clinic Jefferson City
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MERCY PHYSICIANS SERVICES, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 15, 2009
- Last Updated
- Feb 5, 2010
Practice Location
- Address
- 1413 RUSSELL AVE
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2562
- Phone
- (865) 471-0314
Authorized Official
- Name
- SUSANNE NELMS
- Title
- PRACTICE ADMINISTRATOR/DIRECTOR
- Phone
- (865) 549-4892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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