Individual
ERIN SMITH THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1651 GUNBARREL RD STE 102A, CHATTANOOGA, TN 37421-3289
(423) 468-1543
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
58784
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
59215
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.204117
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154800
—
LA
Enumeration date
05/07/2007
Last updated
04/05/2023
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