Organization
AWILDA MARRERO LABONNE PLLC
Active
Organization
AWILDA MARRERO LABONNE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AWILDA MARRERO LABONNE PA-C (CEO)
(423) 648-2273
Entity
Organization
Contact information
Practice address
13 W KENT ST STE 103, CHATTANOOGA, TN 37405-9913
(423) 648-2273
(423) 206-4625
Mailing address
13 W KENT ST STE 103, CHATTANOOGA, TN 37405-9913
(423) 648-2273
(423) 206-4625
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q046052
—
TN
Enumeration date
12/10/2018
Last updated
12/17/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up