Organization
C. ANN MASHCHAK, M.D.
Active
Other names
GYNplus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARISSA ANN MASHCHAK M.D. (OWNER/OPERATOR)
(423) 624-9830
Entity
Organization
Contact information
Practice address
9413 APISON PIKE, SUITE 124, OOLTEWAH, TN 37363-8661
(423) 624-9830
(423) 624-0773
Mailing address
PO BOX 848873, BOSTON, MA 02284-8873
(423) 624-9830
(423) 624-0773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004710
BLUE CROSS BLUE SHIELD
TN
05
—
3032077
—
TN
Enumeration date
05/20/2008
Last updated
05/21/2008
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