Individual
MR. MICHAEL CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 GRAYSON LN, JACKSON, TN 38305-6907
(731) 697-5032
(731) 664-8202
Mailing address
906 GRAYSON LN, JACKSON, TN 38305-6907
(731) 697-5032
(731) 664-8202
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
040879269
TN
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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