Individual
DR. ANDREW B RITTENBERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2205 MCCALLIE AVE, STE 102, CHATTANOOGA, TN 37404-3323
(423) 624-6993
(423) 622-7366
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 778-8212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD6732
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00199361C
—
GA
01
—
1740003
UHC
—
01
—
2566564 001
CIGNA
—
01
—
3076749
BCBS OF TN
—
05
—
3171219
—
TN
01
—
62165877454
JDH
—
Enumeration date
09/09/2005
Last updated
07/08/2007
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