Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 57347 | TN |
NPI | 1053578518 |
---|---|
Provider Name | Dr. Jeffrey Aaron Poynter |
First Address | Chattanooga, TN 37403-2136 |
Second Address | Chattanooga, TN 37403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 02/08/2018 |