Individual
MICHAEL DALTON CLEGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1338
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
33229
TN
Other
Enumeration date
05/21/2009
Last updated
02/04/2026
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