Individual
MR. JUSTIN DANIEL MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4200
Mailing address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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