PATHWAY HEALTHCARE TENNESSEE LLC NPI 1003355652

NPI Information

PATHWAY HEALTHCARE TENNESSEE LLC is an addiction medicine anesthesiology in Jackson, TN. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. PATHWAY HEALTHCARE TENNESSEE LLC NPI is 1003355652. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

37 SANDSTONE CIR
SUITE 92
JACKSON, TN
ZIP 38305-089
Phone: (205) 921-5556

The provider's authorized official is Scott Olson .
The authorized official title is Ceo and has the following contact phone number (214) 522-8292.

The CLIA number assigned to this NPI record is 01D2143018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 2/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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