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Individual

JAKE MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
979 E 3RD ST STE C830, CHATTANOOGA, TN 37403
(423) 778-9001
(423) 778-4693
Mailing address
979 E 3RD ST STE C830, CHATTANOOGA, TN 37403-3325
(423) 778-9001
(423) 778-4693

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
58803
TN
2084N0400X
Neurology Physician
ME125599
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58803
MEDICAL LICENSE
TN
Enumeration date
05/13/2014
Last updated
06/04/2019
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