Individual
LUDJELIE A MANIGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 E 23RD ST, CHATTANOOGA, TN 37404-5701
(423) 760-4000
Mailing address
1300 E 23RD ST, CHATTANOOGA, TN 37404-5701
(423) 760-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD68560
TN
207Q00000X
Family Medicine Physician
MT220523
PA
Other
Enumeration date
04/08/2020
Last updated
08/01/2023
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