Individual
JARED DENNIS AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3328 JENKINS RD STE 200, CHATTANOOGA, TN 37421-1298
(423) 825-4040
Mailing address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65133
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65133
MEDICAL LICENSE
TN
Enumeration date
04/14/2019
Last updated
06/09/2022
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