Individual
ASHLEY MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
Mailing address
2309 NIMITZ ST, CHATTANOOGA, TN 37406-2222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243592
TN
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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