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Individual

AMELIA RUTH WIEAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1501 RIVERSIDE DR, SUITE 120, CHATTANOOGA, TN 37406-4309
(423) 634-3110
(423) 634-5848
Mailing address
4040 MOUNTAIN CREEK RD, APT # 2301, CHATTANOOGA, TN 37415-6034
(423) 475-5696

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000159171
TN

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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