Individual
JORDAN MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3306B GALLATIN PIKE, NASHVILLE, TN 37216-3012
(629) 702-3164
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13740
TN
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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