# FEARFULLY AND WONDERFULLY MADE OBGYN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619498672
- **Authorized official:** MARY ANNA SANDERS DO, FACOG (OWNER)
- **Authorized official phone:** (423) 498-2300

## Contact information

- **Practice address:** 4012 WEST AVE, CHATTANOOGA, TN 37410-1594
- **Practice address phone:** (423) 498-2300
- **Practice address fax:** (423) 498-2301
- **Mailing address:** PO BOX 2217, CHATTANOOGA, TN 37409-0217
- **Mailing address phone:** (423) 498-2300
- **Mailing address fax:** (423) 498-2301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 04/28/2023