Provider Demographics
NPI:1235476482
Name:FERRELL, OLSON, PEARSON & BRAMLETT
Entity Type:Organization
Organization Name:FERRELL, OLSON, PEARSON & BRAMLETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:T
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-490-1000
Mailing Address - Street 1:1602 HATCHER LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4827
Mailing Address - Country:US
Mailing Address - Phone:931-490-1000
Mailing Address - Fax:931-388-6516
Practice Address - Street 1:1602 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4827
Practice Address - Country:US
Practice Address - Phone:931-490-1000
Practice Address - Fax:931-388-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2030174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty