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Dr. Jeffrey Carl Fosnes, MD
Specialist in Springfield, Tennessee
NPI 1487609467

Jeffrey Carl Fosnes is a Specialist based in Springfield, TN. Jeffrey Carl Fosnes practices in Springfield, TN and has the professional credentials of MD. The NPI Number for Jeffrey Carl Fosnes is 1487609467 and holds a License No. MD14905 (Tennessee).

The current practice location address for Jeffrey Carl Fosnes is 220 Northcrest Dr, Springfield, TN and can be reached out via phone at 615-598-7633 and via fax at 931-762-6532.

Location: 220 Northcrest Dr, Springfield, TN, 37172-3962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487609467
Provider Name
Jeffrey Carl Fosnes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
220 Northcrest Dr, Springfield, TN, 37172-3962
Phone Number
615-598-7633
Fax Number
931-762-6532
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3000421 05 TN
4103229 01 TN BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
220 Northcrest Dr
City
Springfield
State
Tennessee
Zip
37172-3962
Phone Number
615-598-7633
Fax Number
931-762-6532
person
Provider Business Mailing Address Details
Address
220 Northcrest Dr
City
Springfield
State
Tennessee
Zip
37172-3962
Phone Number
615-598-7633
Fax Number
931-762-6532
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD14905 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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