IMELDA S BULATAO

CHATTANOOGA, TN
NPI1114981602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TN  MD00040961)
Additional Taxonomies207ZD0900X Pathology, Dermatopathology
(Licence: MN  35906)
207ZD0900X Pathology, Dermatopathology
(Licence: MO  R7H57)
Enumeration Date2006-04-13
Last Update Date2007-09-28
Business Address
-- IMELDA S BULATAO MD
2525 DESALES AVE PATHOLOGY LABORATORY
CHATTANOOGA, TN 37404
Phone number: 423-495-8703
Mailing Address
-- IMELDA S BULATAO MD
PO BOX 3637 ATTN JUDY H NOWLIN
CHATTANOOGA, TN 37404
Phone number: 423-629-7688