Organization
MINNIE VANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINNIE RATLIFF VANCE M.D. (OWNER,OPERATOR)
(423) 624-8226
Entity
Organization
Contact information
Practice address
2507 MCCALLIE AVE, CHATTANOOGA, TN 37404-3304
(423) 624-8226
(423) 624-2246
Mailing address
2507 MCCALLIE AVE, CHATTANOOGA, TN 37404-3304
(423) 624-8226
(423) 624-2246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD1768
TN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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