Individual
DR. CHADI MILAD JARJOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W PARK DR, KINGSPORT, TN 37660-3805
(423) 224-3220
(423) 224-3233
Mailing address
105 W PARK DR, KINGSPORT, TN 37660-3805
(423) 224-3220
(423) 224-3233
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101241983
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD40762
TN
207V00000X
Obstetrics & Gynecology Physician
ME91543
FL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD40762
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
01/03/2006
Last updated
07/30/2019
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