Individual
MR. JONATHAN AUGUST DEMARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2002 BELMONT BLVD, NASHVILLE, TN 37212-4406
(615) 460-8236
Mailing address
815 PLAYERS CT, NASHVILLE, TN 37211-7014
(630) 886-9917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001176
TN
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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