Individual
MR. JONATHAN EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. EP T., CNIM
Contact information
Practice address
2011 MURPHY AVE, SUITE 301, NASHVILLE, TN 37203-2023
(615) 768-9494
Mailing address
2011 MURPHY AVE, SUITE 301, NASHVILLE, TN 37203-2023
(615) 768-9494
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996
CNIM
TN
Enumeration date
05/07/2012
Last updated
03/19/2014
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