Individual
MICHAEL E JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 E MAIN ST, JONESBOROUGH, TN 37659-1317
(423) 788-0123
(866) 212-2654
Mailing address
PO BOX 556, JONESBOROUGH, TN 37659-0556
(423) 788-0123
(866) 212-2654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3880278
—
TN
01
—
4054466
BCBS
TN
01
—
TN01Q8
JOHN DEERE
TN
Enumeration date
04/14/2006
Last updated
01/14/2011
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