Individual
DR. JACOB RYAN HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7628
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47290
TN
Other
Enumeration date
06/16/2008
Last updated
04/09/2021
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