Dr. Ellen S McOmie, MDM
Dentist in Chattanooga, TN. Individual provider (NPI-1).
NPI number1124128632
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124128632
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ellen S McOmie
- Credential
- MDM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 7522 | TN | Yes |
Practice location
5999 Shallowford RdChattanooga, TN 37421-1683
Phone 423-899-1112 · Fax 423-899-1125
Mailing address
6450 Solitude DrChattanooga, TN 37416-1470
Phone 423-326-1803 · Fax 423-899-1125
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