Individual
DR. JEFFREY DURANT CLINKSCALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7628
Mailing address
1770 URBAN TRL APT 102, CHATTANOOGA, TN 37405-1542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49552
TN
207P00000X
Emergency Medicine Physician
MD36625
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366259
—
SC
01
—
SC3554
MEDICARE PTAN
SC
Enumeration date
05/23/2011
Last updated
09/01/2017
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