Individual
DANIELLE CIABATTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
979 E 3RD ST STE C-520, CHATTANOOGA, TN 37403-2136
(423) 778-5661
(423) 778-5664
Mailing address
979 E 3RD ST STE C-520, CHATTANOOGA, TN 37403-2136
(423) 477-8256
(423) 778-5664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3738
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155780
NCCPA NUMBER
—
01
—
3738
STATE LICENSE NUMBER
TN
Enumeration date
10/23/2018
Last updated
11/08/2018
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