NPI | 1750146510 |
---|---|
Doing Business As | CHATTANOOGA FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | TERESA WOLFENBARGER Provider Enrollment Coordinator 865-500-2011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-02-20 |