Individual
DR. DAVID GEORGE JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 IMPERIAL BLVD, SUITE 4, HENDERSONVILLE, TN 37075-3479
(615) 822-3553
(615) 822-5546
Mailing address
107 IMPERIAL BLVD, SUITE 4, HENDERSONVILLE, TN 37075-3479
(615) 822-3553
(615) 822-5546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000010375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3150536
BLUECROSS
TN
05
—
3172890
—
TN
05
—
3172891
—
TN
Enumeration date
06/11/2006
Last updated
10/06/2011
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