Individual
DR. JAY M PHILIPPOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 GLENWOOD DR, MEMORIAL MEDICAL BLDG E SUITE 488-E, CHATTANOOGA, TN 37404-1163
(423) 697-0621
(423) 622-8716
Mailing address
725 GLENWOOD DR, MEMORIAL MEDICAL BLDG E SUITE 488-E, CHATTANOOGA, TN 37404-1163
(423) 697-0621
(423) 622-8716
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37835
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37835
LICENSE
TN
Enumeration date
06/13/2005
Last updated
11/29/2023
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