Individual
MR. FRED DEMARCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 DODDS AVENUE, CHATTANOOGA, TN 37404-3949
(423) 493-5534
Mailing address
500 DODDS AVENUE, CHATTANOOGA, TN 37404-3949
(423) 493-5534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000000290
TN
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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