Individual
DR. JEFFREY RAY LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER OF LAMONT AND VETERAN'S WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-2696
Mailing address
PO BOX 4000, (112), MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316942584
—
VA
05
—
3821264
—
TN
Enumeration date
06/15/2005
Last updated
03/15/2019
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