Individual
RADIAN I FLOREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-7404
Mailing address
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742-3643
(706) 858-2101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049171
GA
207R00000X
Internal Medicine Physician
Primary
41259
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895881B
—
GA
01
—
4084448
BCBS OF TENNESSEE
TN
01
—
52676663
BCBS OF GEORGIA
GA
01
—
7622393
AETNA
GA
Enumeration date
08/25/2005
Last updated
11/02/2017
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