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Liver And Gastroenterology Center

Internal Medicine, Gastroenterology in Chattanooga, TN. Organization (NPI-2).

NPI number1386836070
StatusActive
Last updated in NPPESAug 16, 2007

Details

NPI
1386836070
Entity type
Organization (NPI-2)
Legal business name
Liver And Gastroenterology Center
Organization subpart
No
Enumeration date
Aug 16, 2007
Last updated
Aug 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Practice location

725 Glenwood Dr
Memorial Medical Bldg East Suite 488e
Chattanooga, TN 37404-1163

Phone 423-697-0621 · Fax 423-697-8716

Mailing address

725 Glenwood Dr
Memorial Medical Bldg East Suite 488e
Chattanooga, TN 37404-1163

Phone 423-697-0621 · Fax 423-697-8716

Authorized official

Jay M Philippose
Owner
4236970621

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