Organization
HORMONES 4 LIFE LLC
Active
Other names
Chattanooga Women for Women
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA KAYE GALLOWAY MD (MANAGING MEMBER)
(859) 321-0637
Entity
Organization
Contact information
Practice address
3172 WATERFRONT DR, CHATTANOOGA, TN 37419-1541
(859) 321-0637
Mailing address
3172 WATERFRONT DR, CHATTANOOGA, TN 37419-1541
(859) 321-0637
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
29653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100113860
—
KY
05
—
Q013665
—
TN
Enumeration date
01/08/2017
Last updated
01/08/2017
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