Individual
JACOB ROSS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7072
TN
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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