Individual
MR. JOHNATHAN BLAKE MCADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
24 PHYSICIANS DR, JACKSON, TN 38305-2085
(731) 410-2308
Mailing address
24 PHYSICIANS DR, JACKSON, TN 38305-2085
(731) 410-2308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000009305
TN
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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