Organization
OBSTETRICS & GYNECOLOGY OF HIXSON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M SHUCK MD (OWNER)
(423) 702-9240
Entity
Organization
Contact information
Practice address
2051 HAMILL RD, SUITE 211, HIXSON, TN 37343-6614
(423) 702-9240
(423) 702-9245
Mailing address
PO BOX 11026, CHATTANOOGA, TN 37401-2026
(423) 702-9240
(423) 702-9245
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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