Individual
MARTHA JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 BELGIUM DR, HERMITAGE, TN 37076-2306
(731) 780-3779
Mailing address
638 BELGIUM DR, HERMITAGE, TN 37076-2306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6750
TN
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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