Individual
JAMEY SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
471 TYLER DR, DANDRIDGE, TN 37725-6358
(865) 888-9206
(865) 375-5030
Mailing address
471 TYLER DR, DANDRIDGE, TN 37725-6358
(865) 888-9206
(865) 375-5030
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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