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Individual

MS. BROOKE BORLA CHALMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
405 ELLIS AVE, MARYVILLE, TN 37804-5823
(865) 980-5377
(865) 980-5376
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q031020
TN
Enumeration date
06/08/2016
Last updated
10/24/2025
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