| St Joseph Clinic, P.c. | |
|
1720 Gunbarrel Rd Suite 108 Chattanooga TN 37421-4144 | |
| (706) 277-2321 | |
| (706) 428-2812 |
| Full Name | St Joseph Clinic, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1720 Gunbarrel Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Pablo E Perez (PRESIDENT) |
| Authorized Official Contact | 7062772321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Clinic, P.c. 1102 W Waugh St Dalton GA 30720-8769 Ph: (706) 277-2321 | St Joseph Clinic, P.c. 1720 Gunbarrel Rd Suite 108 Chattanooga TN 37421-4144 Ph: (706) 277-2321 |
| NPI Number | 1841571718 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841571718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000045277 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | 1993 (Tennessee) | Secondary |
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