Individual
MRS. MARY MAUREEN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6011
Mailing address
3894 SENTRY RIDGE CT, SUWANEE, GA 30024-3955
(678) 522-6099
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26303
TN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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