Organization
VINCENT A. VISCOMI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT A VISCOMI MD (MD/OWNER)
(423) 495-7378
Entity
Organization
Contact information
Practice address
725 GLENWOOD DRIVE, SUITE E-680, CHATTANOOGA, TN 37404-1176
(423) 495-7378
(423) 495-4425
Mailing address
PO BOX 24325, CHATTANOOGA, TN 37422-4325
(423) 495-7378
(423) 495-4425
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3049230
—
TN
01
—
DG8484
RR MEDICARE TN
TN
Enumeration date
06/25/2006
Last updated
09/27/2011
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