Individual
LUKE GRIMES MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7236 BONNY OAKS DR, CHATTANOOGA, TN 37421-1005
(423) 892-2319
(423) 892-2147
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 308-0280
(423) 870-0281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4191
TN
Other
Enumeration date
01/05/2020
Last updated
08/22/2020
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