Individual
DR. TAMARA ELIZABETH CHITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200101187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130JM
BCBS NC
NC
05
—
1568495547
—
NC
05
—
N01187
—
SC
Enumeration date
07/10/2006
Last updated
02/12/2021
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