Organization
FAMILY MEDICINE OF JONESBOROUGH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E JEWETT MD (PRESIDENT)
(423) 788-0123
Entity
Organization
Contact information
Practice address
806 E JACKSON BLVD, SUITE 8, JONESBOROUGH, TN 37659-1546
(423) 788-0123
(423) 788-0124
Mailing address
806 E JACKSON BLVD, SUITE 8, JONESBOROUGH, TN 37659-1546
(423) 788-0123
(423) 788-0124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735554
—
TN
Enumeration date
08/09/2006
Last updated
08/22/2020
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