Individual
MR. JASON AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-5339
Mailing address
306 STAFFORD CT, SMYRNA, TN 37167-9334
(615) 424-2005
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
449592
TN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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