Individual
DR. JOE MICHAEL MAZZOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1508 TOMBRAS AVE, CHATTANOOGA, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
1508 TOMBRAS AVE, CHATTANOOGA, TN 37412-2720
(423) 867-4969
(423) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD0000018056
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6029072
BCBS OF TENNESSEE
TN
05
—
Q008885
—
TN
Enumeration date
08/10/2006
Last updated
03/02/2015
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