Gastroenterology And Liver Disease Center, LLC
Internal Medicine, Gastroenterology in Chattanooga, TN. Organization (NPI-2).
NPI number1821207366
StatusActive
Last updated in NPPESJul 18, 2008
Details
- NPI
- 1821207366
- Entity type
- Organization (NPI-2)
- Legal business name
- Gastroenterology And Liver Disease Center, LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Jul 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | MD000040546 | TN | Yes |
Practice location
2337 McCallie AveSuite 103
Chattanooga, TN 37404-3257
Phone 423-622-3494 · Fax 423-622-3495
Mailing address
2337 McCallie AvePlaza One, Suite 103
Chattanooga, TN 37404-3257
Phone 423-622-3494 · Fax 423-622-3495
Authorized official
Remi R Jaiyeola
Member/Director
4236223494
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