Individual
ETHAN CHANDLER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2100 HAMILTON PLACE BLVD STE 147, CHATTANOOGA, TN 37421-6055
(423) 899-8626
Mailing address
124 HUNTERS RIDGE DR, TULLAHOMA, TN 37388-5390
(931) 581-9055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3753
TN
390200000X
Student in an Organized Health Care Education/Training Program
OPTOMETRY
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2022
Last updated
06/16/2022
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