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Individual

MATTHEW BODINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
(423) 495-6312
Mailing address
712 W MAIN ST, MANCHESTER, IA 52057-1525

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223057
TN
367500000X
Certified Registered Nurse Anesthetist
3633
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
36899
TN
367500000X
Certified Registered Nurse Anesthetist
D176251
IA

Other

Enumeration date
08/22/2023
Last updated
02/04/2026
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