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Individual

ALYSON VICTORIA MARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP

Contact information

Practice address
6043 SHALLOWFORD RD STE 101, CHATTANOOGA, TN 37421-1653
(423) 802-1919
(423) 269-6178
Mailing address
6043 SHALLOWFORD RD STE 101, CHATTANOOGA, TN 37421-1653
(423) 802-1919
(423) 269-6178

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27022
TN
363LF0000X
Family Nurse Practitioner
Primary
27022
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27022
TN
Enumeration date
01/24/2020
Last updated
03/13/2024
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