Organization
JASON VANCE MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON VANCE MD (OWNER)
(530) 966-5454
Entity
Organization
Contact information
Practice address
7586 CATCHFLY DR, OOLTEWAH, TN 37363-1725
(530) 966-5454
Mailing address
7586 CATCHFLY DR, OOLTEWAH, TN 37363-1725
(530) 966-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
04/09/2018
Last updated
07/14/2022
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