Individual
ANNESOFIE K DUBECK-BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2205 MCCALLIE AVE, CHATTANOOGA, TN 37404-3230
(423) 698-2435
(423) 697-6110
Mailing address
2205 MCCALLIE AVE, CHATTANOOGA, TN 37404-3230
(423) 698-2435
(423) 697-6110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28602
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38082721
—
TN
01
—
P00414833
RR MEDICARE
TN
Enumeration date
10/14/2005
Last updated
01/27/2022
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