Individual
DR. JONATHAN MICHAEL ANGOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 N 5TH ST, MARYVILLE, TN 37804-2921
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63405
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63405
TN
207RP1001X
Pulmonary Disease Physician
Primary
63405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068341
—
TN
Enumeration date
05/26/2015
Last updated
10/23/2025
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