Most Relevant Information
Provider Data
NPI Number: | 1003405812 |
Provider Name: | JENNIFER CHANCEY UNGER PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 01/15/2021 |
Last Updated: | 06/08/2022 |
Provider Practice Location
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE
TN
378045820
Practice Location Phone/Fax
Phone: | 8659805060 |
Fax: | 8659805066 |
Provider Mailing Location
103 W BROADWAY AVE
MARYVILLE
TN
378014703
Provider Mailing Phone/Fax
Phone: | 8652731752 |
Fax: | 8652731755 |