Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 00325 | KY |
Y | 213ES0103X | Foot & Ankle Surgery | DPM0000000724 | TN |
NPI | 1033311196 |
---|---|
Provider Name | Dr. Jared Clint Bramlett |
First Address | Murfreesboro, TN 37130-2463 |
Second Address | Murfreesboro, TN 37130-2463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 13/02/2019 |