Individual
JONATHAN D DEBOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
750 OLD HICKORY BLVD STE 150, BRENTWOOD, TN 37027-5387
(484) 351-8459
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
5328
TN
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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