Individual
JONATHAN DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 SUNRISE PARK, WINCHESTER, TN 37398-2345
(256) 453-1917
Mailing address
933 GARRETT LN, WINCHESTER, TN 37398-3352
(256) 453-1917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
821
TN
Other
Enumeration date
01/23/2014
Last updated
04/25/2014
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