Nancy G. Michaelis, M.D.
Internal Medicine in Chattanooga, TN. Individual provider (NPI-1).
NPI number1467452425
StatusActive
Last updated in NPPESApr 14, 2016
Details
- NPI
- 1467452425
- Entity type
- Individual (NPI-1)
- Name
- Nancy G. Michaelis
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2005
- Last updated
- Apr 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000051271 | TN | Yes |
| 207R00000X | Internal Medicine | 0101047020 | VA |
Practice location
975 East Third StreetChattanooga, TN 37403
Phone 423-266-1490 · Fax 423-778-2108
Mailing address
975 East Third StreetAttn: Provider Enrollment
Chattanooga, TN 37403-2147
Phone 423-778-3110 · Fax 423-778-3146
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