Individual
JAN THEODORE HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 ADESSA PKWY, SUITE A-150, LENOIR CITY, TN 37771-6725
(865) 986-8082
(865) 986-5890
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15926
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012396
—
TN
Enumeration date
07/18/2005
Last updated
02/17/2011
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