Individual
LARISSA CHRISTINA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7817
Mailing address
975 E 3RD ST., HOSPITAL BOX 112, CHATTANOOGA, TN 37403-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0000067695
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
07/06/2023
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