Individual
MARIBETH HAMRICK BOSSHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
605 GLENWOOD DR STE 200, CHATTANOOGA, TN 37404-1130
(423) 698-1844
(423) 624-2226
Mailing address
P.O. BOX 440100, NASHVILLE, TN 37244
(615) 329-0570
(615) 329-0579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36717
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
36717
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
48458
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033728
—
TN
Enumeration date
04/13/2010
Last updated
05/05/2020
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