Individual
MRS. JAMIE ELISE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 AIRPORT BUSINESS PARK DR, STE H, SHELBYVILLE, TN 37160-7452
(931) 680-6360
Mailing address
112 AIRPORT BUSINESS PARK DR, STE H, SHELBYVILLE, TN 37160-7452
(931) 680-6360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2652
TN
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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