Organization
SITHIPOL TANTIHACHAI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SITHIPOL TANTIHACHAI MD (OWNER)
(423) 775-6559
Entity
Organization
Contact information
Practice address
7794 RHEA COUNTY HWY, MEDIVCAL PROFESSIONAL BUILDING, SUITE 102, DAYTON, TN 37321-5981
(423) 775-6550
(423) 775-6689
Mailing address
7794 RHEA COUNTY HWY, MEDIVCAL PROFESSIONAL BUILDING, SUITE 102, DAYTON, TN 37321-5981
(423) 775-6550
(423) 775-6689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13092
TN
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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