Chattanooga Gastroenterology, Pc | |
2341 Mccallie Avenue Plaza Three, Suite 400 Chattanooga TN 37404 | |
(423) 493-9151 | |
(423) 493-9551 |
Full Name | Chattanooga Gastroenterology, Pc |
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Speciality | Internal Medicine |
Location | 2341 Mccallie Avenue, Chattanooga, Tennessee |
Authorized Official Name and Position | Jacquelyn M Sadowitz (PRACTICE MANAGER) |
Authorized Official Contact | 4234939151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chattanooga Gastroenterology, Pc 2341 Mccallie Avenue Plaza Three, Suite 400 Chattanooga TN 37404 Ph: (423) 493-9151 | Chattanooga Gastroenterology, Pc 2341 Mccallie Avenue Plaza Three, Suite 400 Chattanooga TN 37404 Ph: (423) 493-9151 |
NPI Number | 1124024534 |
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Provider Enumeration Date | 06/22/2005 |
Last Update Date | 10/25/2007 |
Medicare PECOS PAC ID | 3577524081 |
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Medicare Enrollment ID | O20041112000322 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124024534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 25915 (Tennessee) | Primary |
Provider Name | Richard H Sadowitz |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639175631 PECOS PAC ID: 8820059348 Enrollment ID: I20041112000309 |
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