Organization
INTERNAL MEDICINE & WOUND CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM E FALL MD (INTERNAL MEDICINE)
(423) 855-0700
Entity
Organization
Contact information
Practice address
2800 WESTSIDE DR NW, CLEVELAND, TN 37312-3501
(423) 339-4100
Mailing address
5751 UPTAIN RD, SUITE 100, CHATTANOOGA, TN 37411-4010
(423) 894-5466
(423) 424-3690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD0317
RAILROAD MEDICARE
—
Enumeration date
06/11/2007
Last updated
04/10/2008
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