Individual
DR. JEFFREY S HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2108 E 3RD ST, SUITE 200, CHATTANOOGA, TN 37404-2600
(423) 267-0466
(423) 757-0770
Mailing address
979 E 3RD ST STE 300, CHATTANOOGA, TN 37403-2187
(423) 267-0466
(423) 757-0770
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
49079
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129103A
—
GA
05
—
003129103D
—
GA
05
—
1530185
—
TN
05
—
153614
—
AL
01
—
4337802
BCBS
TN
01
—
MD49079
TN MEDICAL LICENSE
TN
01
—
P01125444
RR MEDICARE
—
Enumeration date
05/23/2007
Last updated
06/25/2015
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