Individual
JEREMY INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1806 BONO RD APT 16, NEW ALBANY, IN 47150-4680
(502) 492-9928
Mailing address
1806 BONO RD APT 16, NEW ALBANY, IN 47150-4680
(502) 492-9928
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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