Individual
ANDREW MEGISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6015 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1688
(423) 298-3072
Mailing address
6015 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1688
(423) 298-3072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11529
TN
1223D0001X
Public Health Dentistry
6566
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11529
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2015
Last updated
03/20/2023
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