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Organization
LIVER AND GASTROENTEROLOGY CENTER
Active
Organization
LIVER AND GASTROENTEROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M PHILIPPOSE MD (OWNER)
(423) 697-0621
Entity
Organization
Contact information
Practice address
725 GLENWOOD DR, MEMORIAL MEDICAL BLDG EAST SUITE 488E, CHATTANOOGA, TN 37404-1163
(423) 697-0621
(423) 697-8716
Mailing address
725 GLENWOOD DR, MEMORIAL MEDICAL BLDG EAST SUITE 488E, CHATTANOOGA, TN 37404-1163
(423) 697-0621
(423) 697-8716
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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