JAIME PONCE PORTUGAL, MD

CHATTANOOGA, TN
NPI1245280023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TN  36423)
Additional Taxonomies208600000X Surgery
(Licence: GA  046635)
Enumeration Date2006-05-11
Last Update Date2022-07-21
Business Address
JAIME PONCE PORTUGAL, MD MEDICAL DOCTOR
7405 SHALLOWFORD ROAD SUITE 160
CHATTANOOGA, TN 37421
Phone number: 706-278-6403
Mailing Address
JAIME PONCE PORTUGAL, MD MEDICAL DOCTOR
1949 GUNBARREL ROAD, SUITE 230
CHATTANOOGA, TN 37421
Phone number: 423-495-4620
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