Individual
JACKSON J YIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 E 3RD ST, STE 208, CHATTANOOGA, TN 37403-2104
(423) 778-2550
Mailing address
975 E 3RD ST, BOX 338, CHATTANOOGA, TN 37403-2147
(423) 648-9808
(423) 648-4570
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
8325
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154099
—
TN
Enumeration date
06/21/2005
Last updated
07/31/2008
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