Individual
JONATHAN EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 ANDERSON AVENUE, APT A, CHATTANOOGA, TN 37404
(423) 580-8298
Mailing address
1611 ANDERSON AVE, CHATTANOOGA, TN 37404-4359
(423) 580-8298
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
098846603
TN
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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