Individual
DR. JOHN B JENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2153
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
075319
GA
207P00000X
Emergency Medicine Physician
196705
NC
207P00000X
Emergency Medicine Physician
Primary
MD.41630
TN
Other
Enumeration date
07/27/2012
Last updated
07/01/2021
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