Individual
JOJY JOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 W KINGSTON SPRINGS RD STE 104, KINGSTON SPRINGS, TN 37082-9121
(615) 590-8000
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3670
TN
Other
Enumeration date
10/29/2009
Last updated
03/20/2026
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