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Individual

JEANIE D DASSOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
979 EAST THIRD STREET, SUITE C-725, CHATTANOOGA, TN 37403-3329
(423) 778-2580
(423) 778-7489
Mailing address
PO BOX 11589, CHATTANOOGA, TN 37401-2589
(423) 778-3274
(423) 778-2255

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35445
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
46420
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64002900
KY
Enumeration date
06/21/2006
Last updated
03/07/2023
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