Doctor Name: | JEANIE D DASSOW |
NPI Number: | 1740226562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35445 |
Business Practice Address: | 979 East Third Street Suite C-725 Chattanooga, TN - 374033329 |
Business Phone Number: | 4237782580 |
Business Fax Number: | 4237787489 |
Mailing Address: | Po Box 11589, CHATTANOOGA |
State: | TN |
Postal Code: | 374012589 |
Phone Number: | 4237783274 |
Fax Number: | 4237782255 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 35445 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |