Individual
DR. MARIA E TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2620
(423) 495-2625
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2620
(423) 495-2625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1681
TN
208M00000X
Hospitalist Physician
Primary
1681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630361571A
—
GA
Enumeration date
05/04/2006
Last updated
01/15/2009
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