Individual
JEFFERSON G CARLISLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 WHITE BRIDGE RD, SUITE 206, NASHVILLE, TN 37205-1499
(615) 366-9935
(615) 356-9489
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
04/06/2009
Last updated
04/06/2009
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