Individual
GERGANA DININA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
979 E 3RD ST STE C925, CHATTANOOGA, TN 37403-2136
(423) 778-5777
Mailing address
979 E 3RD ST STE C925, CHATTANOOGA, TN 37403-2136
(423) 778-5777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28647
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28647
LICENSE NUMBER
TN
Enumeration date
02/01/2021
Last updated
12/08/2021
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