Individual
JEREMY TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT-IV
Contact information
Practice address
1900 BELMONT BLVD, NASHVILLE, TN 37212-3758
(615) 460-8041
Mailing address
1215 21ST AVE S, MEDICAL CENTER EAST SOUTH TOWER SUITE 3200, NASHVILLE, TN 37232-0014
(615) 460-8041
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
30732
TN
2255A2300X
Athletic Trainer
Primary
1680
TN
Other
Enumeration date
07/16/2015
Last updated
07/17/2015
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