Individual
DR. AMANDA MAY TEDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
979 E. THIRD STREET, SUITE #C-620, CHATTANOOGA, TN 37403
(423) 778-8224
(423) 778-8180
Mailing address
975 E. THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403
(423) 778-8224
(423) 778-8180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44771
TN
Other
Enumeration date
07/07/2008
Last updated
05/03/2016
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