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1780310730
GEREMY D. MEDLOCK
NASHVILLE, TN
NPI
1780310730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TN 12260)
Enumeration Date
2022-07-30
Last Update Date
2023-08-11
Business Address
GEREMY D. MEDLOCK DMD
1801 MEHARRY BLVD.
NASHVILLE, TN 37208-3501
Phone number: 803-212-8290
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Mailing Address
GEREMY D. MEDLOCK DMD
2856 HOLLY GLEN DR APT G
GREENVILLE, NC 27834-8840
Phone number: 803-212-8290
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