Jacob Chesnutt

NPI 1184213076 · on the registry since 2021 · sole proprietor

Practice

Address: 785 Chickamauga Ave
Rossville, GA 30741
Phone: (706) 866-1220
Organisation at this address: Rossville Worx Llc
Rossville Worx Llc
Rocky Top Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
390200000X
Licence states on file: AL, GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia