Jernigan, Thomas W

Jernigan, Thomas W is an individual health care provider with primary practice located at 325 N State Of Franklin Rd 1St Floor, Johnson City TN 37604-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Jernigan, Thomas W can be contacted via phone (423) 439-7272.

Contact Information

Primary practice address
325 N State Of Franklin Rd 1St Floor Johnson City TN 37604-6062
Phone: (423) 439-7272
Fax: (423) 439-7235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11979 Tennessee
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 11979 Tennessee

Profile Details

NPI number 1528063245
LBN Legal business name Jernigan, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 9th, 2018 - about 8 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 1528063245 NPPES
Tennessee MEDICAID 3169458
Tennessee Other 3714470

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