Individual
MELISSA D MCNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFO
Contact information
Practice address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Mailing address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN0000072602
TN
174400000X
Specialist
Primary
CFO03338
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973794C
—
GA
05
—
1455062
—
TN
Enumeration date
04/05/2010
Last updated
04/05/2010
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