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1285678680
STEPHEN C WALLER
CHATTANOOGA, TN
NPI
1285678680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA0000000545)
Enumeration Date
2006-06-15
Last Update Date
2008-10-06
Business Address
-- STEPHEN C WALLER PA
6925 SHALLOWFORD RD SUITE 206
CHATTANOOGA, TN 37421-1787
Phone number: 423-894-0432
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Mailing Address
-- STEPHEN C WALLER PA
6925 SHALLOWFORD RD SUITE 206
CHATTANOOGA, TN 37421-1787
Phone number: 423-894-0432
Copy
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