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1396861134
STACEY JACK MCCLARTY
CHATTANOOGA, TN
NPI
1396861134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN MD41787)
Enumeration Date
2007-03-22
Last Update Date
2010-01-14
Business Address
STACEY JACK MCCLARTY MD
975 E THIRD ST
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-7608
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Mailing Address
STACEY JACK MCCLARTY MD
PO BOX 11225
CHATTANOOGA, TN 37401-2225
Phone number: 423-892-5602
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