Jessica Bodenhamer

NPI #1336619428 in Chattanooga, Tennessee

Provider Information

NPI Number: 1336619428
Entity Type: Individual
Name: Jessica Bodenhamer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 30, 2018
Last Updated: Apr 20, 2020

Practice Location

Address: 6049 SHALLOWFORD RD
City: Chattanooga
State: Tennessee
ZIP Code: 37421-1688
Phone: (423) 266-6751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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