Individual
MISS OLGA L URIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
817 COOK DR, ATHENS, TN 37303-3485
(423) 745-3394
(423) 745-6779
Mailing address
817 COOK DR, ATHENS, TN 37303-3485
(423) 745-3394
(423) 745-6779
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
056778
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000045234
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056778
STATE MEDICAL LICENSE #
GA
05
—
1517492
—
TN
05
—
696293295A
—
GA
05
—
696293295C
—
GA
Enumeration date
08/20/2006
Last updated
05/20/2024
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