Individual
JEREMY BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 12TH AVE S, NASHVILLE, TN 37203-4703
(615) 242-3576
Mailing address
6501 HARDING PIKE, APT R11, NASHVILLE, TN 37205-4000
(615) 242-3576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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