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1487164901
CHARITI BLACK
CHATTANOOGA, TN
NPI
1487164901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22769)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
CHARITI BLACK NP-C
2158 NORTHGATE PARK LN STE 300
CHATTANOOGA, TN 37415-6959
Phone number: 423-771-9680
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Mailing Address
CHARITI BLACK NP-C
7002 TREELINE DR
HARRISON, TN 37341-9564
Phone number: 423-313-3688
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