Individual provider · NPI-1

Jeremy E Harris, BOCP

Durable Medical Equipment & Medical Supplies, Customized Equipment · Gallatin, TN

NPI number1083896807
StatusActive
Last updated in NPPESMay 19, 2009

Details

NPI
1083896807
Entity type
Individual (NPI-1)
Name
Jeremy E Harris
Credential
BOCP
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 4, 2007
Last updated
May 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized EquipmentC22326TNYes

Practice location

1108 Peninsula Dr
Gallatin, TN 37066-3819

Phone 270-816-5888

Mailing address

1108 Peninsula Dr
Gallatin, TN 37066-3819

Phone 270-816-5888

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