Individual
JACKSON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1410 TUSCULUM BLVD STE 2500, GREENEVILLE, TN 37745-5821
(423) 638-1291
(423) 638-9398
Mailing address
1410 TUSCULUM BLVD STE 2500, GREENEVILLE, TN 37745-5821
(423) 638-1291
(423) 638-9398
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2104
TN
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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