Organization
STEPHAN ESELGROTH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN F ESELGROTH MD (OWNER)
(423) 316-3614
Entity
Organization
Contact information
Practice address
1013 EXECUTIVE DR., SUITE 102, HIXSON, TN 37343
(423) 316-3614
Mailing address
302 NORTHGATE MALL DR., # 597, HIXSON, TN 37343
(423) 316-3614
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
05/26/2021
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