Organization
OB-GYN CENTRE OF EXCELLENCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY A HICKMAN (PRACTICE ADMINISTRATOR)
(423) 629-9743
Entity
Organization
Contact information
Practice address
2341 MCCALLIE AVE STE 302, PARKRIDGE PLAZA III, CHATTANOOGA, TN 37404-3237
(423) 629-9743
(423) 629-9744
Mailing address
2341 MCCALLIE AVE, SUITE 302, PARKRIDGE PLAZA III, CHATTANOOGA, TN 37404-3237
(423) 629-9743
(423) 629-9744
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
09/10/2010
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