Individual
DR. AMANDA CARTER THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, SUITE B-401, CHATTANOOGA, TN 37403-2136
(423) 778-7695
Mailing address
979 E 3RD ST STE C-925, CHATTANOOGA, TN 37403-2136
(423) 778-7695
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
64213
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
10/07/2021
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