Organization
GI CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A MACKLER (OFFICE ADMINISTRATOR)
(423) 629-6258
Entity
Organization
Contact information
Practice address
721 GLENWOOD DR, STE. W552, CHATTANOOGA, TN 37404-1106
(423) 629-6258
(423) 629-9531
Mailing address
721 GLENWOOD DR, STE. W552, CHATTANOOGA, TN 37404-1106
(423) 629-6258
(423) 629-9531
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11215
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00170475B
—
GA
05
—
3388156
—
TN
Enumeration date
08/08/2007
Last updated
10/30/2007
Update your record
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