Individual
JACOB GINGERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 ADMINISTRATION RD, OAK RIDGE, TN 37830-8822
(865) 483-7030
(865) 483-3954
Mailing address
120 ADMINISTRATION RD, OAK RIDGE, TN 37830-8822
(865) 483-7030
(865) 483-3954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q049564
—
TN
Enumeration date
03/26/2014
Last updated
07/21/2020
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