Individual
MR. JARRELL DEMONT MARABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5106 STONEWOOD DR, SMYRNA, TN 37167-5888
(615) 275-8987
Mailing address
5106 STONEWOOD DR, SMYRNA, TN 37167-5888
(615) 275-8987
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
057372711
TN
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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