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Individual

KARL SCHUBERTHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP

Contact information

Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7876
Mailing address
11111 BLAIR RD, APISON, TN 37302-9541

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000023668
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APN0000023668
TN
Enumeration date
12/25/2017
Last updated
06/16/2018
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