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Contact Information

JTP ENTERPRISES, LLC
287 TURNTABLE RD.
SPARTA, TN38583
 Phone: 931-738-2000
 Fax: 888-337-7080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for JTP ENTERPRISES, LLC

NPI Number 1972852341
LBN Legal business name JTP ENTERPRISES, LLC
Authorized official JERRY PERNELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2012
Last updated 01/23/2014 - About 12 years ago
Identifiers
TN License # 7811
TN Medicaid 0448921
TN Other 1548460447 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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