Individual
DR. JACOB MARTIN AGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
990 OAK RIDGE TPKE, 99, OAK RIDGE, TN 37830-6976
(865) 835-3400
Mailing address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-3400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5625
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2021
Last updated
09/10/2024
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