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Organization
JASON VANCE MD A MEDICAL CORPORATION
Active
Organization
JASON VANCE MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VANCE MD (OWNER)
(530) 966-5454
Entity
Organization
Contact information
Practice address
2137 HEAVENLY VW, OOLTEWAH, TN 37363-9488
(530) 966-5454
Mailing address
2137 HEAVENLY VW, OOLTEWAH, TN 37363-9488
(530) 966-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
06/10/2026
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