Individual
DR. SAMUEL S JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 E. THIRD STREET, SUITE # C-735, CHATTANOOGA, TN 37403
(423) 778-9101
(423) 778-9190
Mailing address
975 E. THIRD STREET, ATTN: PAYER ENROLLMENT, CHATTANOOGA, TN 37403
(423) 778-9101
(423) 778-9190
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD52334
TN
Other
Enumeration date
11/18/2005
Last updated
03/09/2017
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