Individual
THOMAS CUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-5179
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2949
TN
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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