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Individual

JODY HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1605 CENTENNIAL PARK BLVD APT 331, ALCOA, TN 37701-4021
(865) 340-9935
Mailing address
1605 CENTENNIAL PARK BLVD APT 331, ALCOA, TN 37701-4021
(865) 340-9935

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
075638833
TN

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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