MEDICARE: MR. JEFFREY S JOBE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD38960	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4090612	OTHER	TN	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922092535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY S JOBE MD

Provider Business Mailing Address
First Line	:	5006 SPEDALE CT
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6105
Country	:	US
Telephone Number	:	615-302-0701
Fax Number	:	615-302-0780

Provider Business Practice Location Address
First Line	:	5006 SPEDALE CT
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6105
Country	:	US
Telephone Number	:	615-302-0701
Fax Number	:	615-302-0780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	01/08/2008

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