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Individual

DR. ADAM JAMES SOUFLERIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 EAST THIRD STREET, SUITE 302, CHATTANOOGA, TN 37403-4115
(423) 664-5165
(423) 664-5164
Mailing address
1000 EAST THIRD STREET, SUITE 302, CHATTANOOGA, TN 37403-4115
(423) 664-5165
(423) 664-5164

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
024399
TN
207RI0200X
Infectious Disease Physician
037698
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005746032
AETNA
TN
05
00608011B
GA
01
100011482
PHP
TN
01
1734446
LOUISIANA MEDICAID
LA
01
1891884292
GROUP N P I
05
3074565
TN
01
3081725
BLUE CROSS
TN
01
5902600
NORTH CAROLINA MEDICAID
NC
01
621726531006
CIGNA
TN
Enumeration date
04/09/2006
Last updated
12/30/2013
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