Gage, Jodi B

Gage, Jodi B is an individual health care provider with primary practice located at 325 N. State Of Franklin Road, Ground Floor , Johnson City TN 37604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gage, Jodi B can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N. State Of Franklin Road, Ground Floor Johnson City TN 37604
Phone: (423) 439-7320
Fax: (423) 439-7343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35392 Tennessee

Profile Details

NPI number 1083619118
LBN Legal business name Gage, Jodi B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 17th, 2024 - about 10 months 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 1083619118 NPPES
Tennessee MEDICAID 3866481

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