Individual
DR. JEFFREY JOSEPH IVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 COOK DR, SUITE 110, ATHENS, TN 37303-3486
(423) 746-0122
(423) 745-9456
Mailing address
711 COOK DR, SUITE 110, ATHENS, TN 37303-3486
(423) 746-0122
(423) 745-9456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101055766
VA
207R00000X
Internal Medicine Physician
14733
TN
207R00000X
Internal Medicine Physician
Primary
MD14733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510664
—
TN
Enumeration date
10/04/2006
Last updated
06/06/2013
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