Individual
DR. JOE MELVIN JETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2130 N LOCUST AVE # 931, LAWRENCEBURG, TN 38464-4456
(931) 762-6058
(931) 762-6013
Mailing address
3604 MOORESVILLE HWY, CULLEOKA, TN 38451-8030
(931) 637-6572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3003
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003
PHARMACIST
TN
Enumeration date
05/09/2018
Last updated
05/09/2018
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