# JENNIFER BROYLES MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134243017
- **Authorized official:** JENNIFER BROYLES MD (PRESIDENT)
- **Authorized official phone:** (423) 837-6000

## Contact information

- **Practice address:** 1511 MAIN ST, KIMBALL, TN 37347-5551
- **Practice address phone:** (423) 837-6000
- **Practice address fax:** (423) 837-6009
- **Mailing address:** PO BOX 8487, CHATTANOOGA, TN 37414-0487
- **Mailing address phone:** (423) 899-2204
- **Mailing address fax:** (423) 698-4045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |

## Other

- **Enumeration date:** 03/18/2007
- **Last updated:** 10/24/2007