Individual
MR. JON BRETT MEBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
175 W MAIN ST, CAMDEN, TN 38320-1621
(731) 584-4711
(731) 584-5906
Mailing address
110 SPRUCE ST N, BRUCETON, TN 38317-2034
(731) 415-0258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8398
STATE OF TENNESSEE LISCENSE
TN
Enumeration date
01/15/2018
Last updated
01/15/2018
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