Individual
GEREMY D. MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1801 MEHARRY BLVD., NASHVILLE, TN 37208-3501
(803) 212-8290
Mailing address
2856 HOLLY GLEN DR APT G, GREENVILLE, NC 27834-8840
(803) 212-8290
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12260
TN
Other
Enumeration date
07/30/2022
Last updated
08/11/2023
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