Individual
JARED TODD GREMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
240 MEDICAL PARK BLVD STE 1500, BRISTOL, TN 37620-7353
(423) 990-2460
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 390-3340
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
857
TN
213E00000X
Podiatrist
POD.INTERN
LA
Other
Enumeration date
05/20/2016
Last updated
07/30/2019
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