Individual
JASON MATTHEW QUEVREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37232-2730
(860) 455-5504
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37232-2730
(860) 455-5504
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
57679
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
08/12/2019
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