Individual
MRS. ALTA RUTH EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
0000012626
Contact information
Practice address
730 E 11TH ST, CHATTANOOGA, TN 37403-3103
(423) 265-5708
Mailing address
730 E 11TH ST, CHATTANOOGA, TN 37403-3103
(423) 265-5708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000012626
TN
Other
Enumeration date
09/24/2007
Last updated
03/16/2016
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