Individual
OLIVIA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1021 EXECUTIVE DR STE 102, HIXSON, TN 37343-7919
(423) 648-6483
Mailing address
7235 AVENTINE WAY # 7-109, CHATTANOOGA, TN 37421-4184
(810) 599-4481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1216627
TN
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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