| Jason Vance Md A Medical Corporation | |
|
7586 Catchfly Dr Ooltewah TN 37363-1725 | |
| (530) 966-5454 | |
| Not Available |
| Full Name | Jason Vance Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 7586 Catchfly Dr, Ooltewah, Tennessee |
| Authorized Official Name and Position | Jason Vance (OWNER) |
| Authorized Official Contact | 5309665454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Vance Md A Medical Corporation 7586 Catchfly Dr Ooltewah TN 37363-1725 Ph: (530) 966-5454 | Jason Vance Md A Medical Corporation 7586 Catchfly Dr Ooltewah TN 37363-1725 Ph: (530) 966-5454 |
| NPI Number | 1467959155 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467959155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
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