Individual
DR. ERNESTO CHIOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3568 CHERE CAROL RD, HUMBOLDT, TN 38343-3639
(731) 784-7602
(731) 784-9518
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
035377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3868618
—
TN
Enumeration date
06/26/2007
Last updated
03/15/2016
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