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Individual

MRS. JENNIFER GUNTER EAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222
Mailing address
1 SISKIN PLZ STE 101, CHATTANOOGA, TN 37403-1306
(423) 803-2226
(423) 803-2222

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1757
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4253479
BCBS - TENNESSEE
TN
Enumeration date
10/08/2009
Last updated
08/10/2021
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