Individual
JEREMY E HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCP
Contact information
Practice address
1108 PENINSULA DR, GALLATIN, TN 37066-3819
(270) 816-5888
Mailing address
1108 PENINSULA DR, GALLATIN, TN 37066-3819
(270) 816-5888
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C22326
TN
Other
Enumeration date
12/04/2007
Last updated
05/19/2009
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