Individual
DR. SANJIVINI VISHWAS JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
6141 SHALLOWFORD RD STE 100, CHATTANOOGA, TN 37421-1663
(423) 498-2000
(423) 498-2001
Mailing address
6141 SHALLOWFORD RD STE 100, CHATTANOOGA, TN 37421-1663
(423) 498-2000
(423) 498-2001
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
044848
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q047258
—
TN
Enumeration date
07/31/2008
Last updated
02/23/2026
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