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Individual

ADAM CARLTON VOLLBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
975 E 3RD ST # 112, CHATTANOOGA, TN 37403-2147
(423) 778-7817
Mailing address
975 E 3RD ST # 112, CHATTANOOGA, TN 37403-2147

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
117678351
TN

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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