Individual
LINDA M MOCNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
1949 GUNBARREL RD, STE 160, CHATTANOOGA, TN 37421-7132
(423) 664-4635
(423) 664-4640
Mailing address
1949 GUNBARREL RD, STE 125, CHATTANOOGA, TN 37421-3188
(423) 664-4635
(423) 664-4640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA846
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3671003
—
TN
Enumeration date
06/09/2005
Last updated
12/22/2008
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