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NPI Code Detail

MEDICARE: JO ELLEN MCBRIDE SA-C

MEDICARE: JO ELLEN MCBRIDE SA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1801042056
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO ELLEN MCBRIDE SA-C
Provider Business Mailing Address
First Line : 121 COACH DR
Second Line :
City : WHITE BLUFF
State : TN
Zip : 37187-4847
Country : US
Telephone Number : 615-797-4070
Fax Number :
Provider Business Practice Location Address
First Line : 4230 HARDING RD
Second Line : STE 300
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-783-1269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2008
Last Update Date : 08/07/2008

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Directions to “ JO ELLEN MCBRIDE SA-C” Practice Location

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