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Individual

JARED WILSON MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
165 WESTMORELAND ST, HARROGATE, TN 37752-8202
(423) 869-7193
(423) 869-7195
Mailing address
165 WESTMORELAND ST, HARROGATE, TN 37752-8202
(423) 869-7193
(423) 869-7195

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
2462
TN
207Q00000X
Family Medicine Physician
Primary
03054
KY

Other

Enumeration date
05/03/2007
Last updated
06/25/2013
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