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Individual

DR. GARY LANCE MATHENY II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 FOUNTAIN SQ, CHATTANOOGA, TN 37402-1307
(423) 294-4132
(423) 763-9892
Mailing address
1 FOUNTAIN SQ, CHATTANOOGA, TN 37402-1307
(423) 294-4132
(423) 763-9892

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31578
TN

Other

Enumeration date
01/09/2008
Last updated
01/09/2008
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