Individual
DEANNE FANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
6393 LEE HWY, CHATTANOOGA, TN 37421-2569
(423) 822-8304
Mailing address
6393 LEE HWY, CHATTANOOGA, TN 37421-2569
(423) 822-8304
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
5804
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5804
STATE BOARD OF VET MED
TN
Enumeration date
12/14/2016
Last updated
12/14/2016
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