Diggs, Jacqulyn Mayre

Diggs, Jacqulyn Mayre is an individual health care provider with primary practice located at 4136 Mountain View Rd , Chattanooga TN 37415-2034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Diggs, Jacqulyn Mayre can be contacted via phone (423) 876-0725.

Contact Information

Primary practice address
4136 Mountain View Rd Chattanooga TN 37415-2034
Phone: (423) 876-0725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X TN0028267 Tennessee

Profile Details

NPI number 1578789905
LBN Legal business name Diggs, Jacqulyn Mayre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Oct 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578789905 NPPES
Tennessee MEDICAID 3839291

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