Individual
DR. ALFREDO NIEVES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1604 GUNBARREL RD, CHATTANOOGA, TN 37421-3125
(423) 899-1165
(423) 899-1160
Mailing address
1604 GUNBARREL RD, CHATTANOOGA, TN 37421-3125
(423) 899-1165
(423) 899-1160
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
24075
TN
208VP0000X
Pain Medicine Physician
24075
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3828641
MEDICARE PIN
TN
01
—
4133945
BCBS
TN
Enumeration date
08/31/2006
Last updated
06/24/2013
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