Individual
TRAVIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 EAST THIRD STREET, CHATTANOOGA, TN 37403-4617
(423) 778-4465
Mailing address
975 EAST THIRD STREET, CHATTANOOGA, TN 37403
(423) 778-4465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
04/11/2019
Last updated
06/25/2023
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