| Tri-state Psychiatry And Addiction Medicine, Pllc | |
|
951 Eastgate Loop Suite 100 Chattanooga TN 37411-4015 | |
| (423) 296-6451 | |
| (423) 296-6515 |
| Full Name | Tri-state Psychiatry And Addiction Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 951 Eastgate Loop, Chattanooga, Tennessee |
| Authorized Official Name and Position | Ahmed Ibrahim (OWNER/MANAGER) |
| Authorized Official Contact | 6155196164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Psychiatry And Addiction Medicine, Pllc 951 Eastgate Loop Suite 100 Chattanooga TN 37411-4015 Ph: (423) 296-6451 | Tri-state Psychiatry And Addiction Medicine, Pllc 951 Eastgate Loop Suite 100 Chattanooga TN 37411-4015 Ph: (423) 296-6451 |
| NPI Number | 1568852754 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568852754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Tennessee) | Primary |
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