Organization
CHATTANOOGA LUNG SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANIE RAVEE MD (MEDICAL DIRECTOR/PHYSICAN)
(423) 693-9477
Entity
Organization
Contact information
Practice address
6714 HERITAGE BUSINESS CT, CHATTANOOGA, TN 37421-2596
(423) 693-9477
Mailing address
6714 HERITAGE BUSINESS CT, CHATTANOOGA, TN 37421-2596
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
41412
TN
Other
Enumeration date
03/07/2018
Last updated
03/22/2018
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