Individual
JERMAINE HOGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3739 HIXSON PIKE, CHATTANOOGA, TN 37415-3520
(423) 875-0999
Mailing address
3739 HIXSON PIKE, CHATTANOOGA, TN 37415-3520
(423) 877-0999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4760
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
06/29/2022
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