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Individual

DR. ELLEN S MCOMIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MDM

Contact information

Practice address
5999 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1683
(423) 899-1112
(423) 899-1125
Mailing address
6450 SOLITUDE DR, CHATTANOOGA, TN 37416-1470
(423) 326-1803
(423) 899-1125

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7522
TN

Other

Enumeration date
09/24/2006
Last updated
07/08/2007
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