Individual
DR. VICENTE ALONSO MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0770
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD37290
TN
2086S0102X
Surgical Critical Care Physician
MD37290
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934451
—
AL
05
—
230753382C
—
GA
05
—
230753382E
—
GA
01
—
2511507
CIGNA
—
01
—
4109103
BCBS
TN
05
—
Q001720
—
TN
Enumeration date
09/07/2005
Last updated
02/19/2019
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