Individual
JASON CLIFFORD POOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25056
OK
207L00000X
Anesthesiology Physician
Primary
MD40390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110533
—
AL
05
—
1513157
—
TN
05
—
278754541A
—
GA
01
—
4222895
BLUE CROSS BLUE SHIELD TN
TN
05
—
591187I
—
NC
Enumeration date
02/05/2007
Last updated
01/14/2010
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