Individual
JANE F GUMNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 S MOORE RD, CHATTANOOGA, TN 37411-4806
(678) 984-3668
Mailing address
PO BOX 8265, CHATTANOOGA, TN 37414-8265
(678) 984-3668
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3282227
MEDICARE PART B
TN
Enumeration date
07/04/2006
Last updated
01/13/2014
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