Organization
ST JOSEPH CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO E PEREZ MD (PRESIDENT)
(706) 277-2321
Entity
Organization
Contact information
Practice address
1720 GUNBARREL RD, SUITE 108, CHATTANOOGA, TN 37421-4144
(706) 277-2321
(706) 428-2812
Mailing address
1102 W WAUGH ST, DALTON, GA 30720-8769
(706) 277-2321
(706) 428-2812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000045277
TN
363A00000X
Physician Assistant
1993
TN
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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