Individual
MS. FANNY MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1101 MARKET ST, BR-3D, CHATTANOOGA, TN 37402-2881
(423) 751-8562
Mailing address
PO BOX 5156, CHATTANOOGA, TN 37406-0156
(601) 209-0724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12104
TN
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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