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3800 Amnicola Hwy Chattanooga TN 37406-1003 | |
(888) 922-0720 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 3800 Amnicola Hwy, Chattanooga, Tennessee |
Authorized Official Name and Position | Stuart Clark (EXECUTIVE V.P.) |
Authorized Official Contact | 7037600700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8229 Boone Blvd Suite 700 Vienna VA 22182-2623 Ph: () - | 3800 Amnicola Hwy Chattanooga TN 37406-1003 Ph: (888) 922-0720 |
NPI Number | 1447424866 |
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Provider Enumeration Date | 04/16/2008 |
Last Update Date | 04/16/2008 |
Identifier | Type | State | Issuer |
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1447424866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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