Individual
JEFFREY ALLEN MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
GREENE VALLEY DEVELOPMENTAL CENTER, 4850 EAST ANDREW JOHNSON HWY, GREENEVILLE, TN 37743
(423) 787-6726
Mailing address
304 HERMITAGE DR, P.O. BOX 2173, GREENEVILLE, TN 37745-6510
(423) 638-6060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091
TN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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