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General NPI Number Information
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NPI Number | 1609095108
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Entity Type | Organization
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Legal Business Name | JACK M ROWLAND, MD, LLC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1511 GUNBARREL RD STE 111
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3897
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Country | US
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Telephone | 423-553-5999
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Fax | 423-602-7456
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Provider Business Mailing Address
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Address Line | 1511 GUNBARREL RD STE 111
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3897
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Country | US
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Telephone | 423-553-5999
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Fax | 423-602-7456
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Authorized Official
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Title or Position | OWNER
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Name | MR. JACK M ROWLAND
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Credential | MD
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Telephone | 423-648-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD0000034464
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD0000034464
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License Number State |
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