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Individual

ELIZABETH FELTS RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
951 RIVERFRONT PKWY, SUITE 102, CHATTANOOGA, TN 37402-2185
(423) 756-2450
(423) 756-5451
Mailing address
951 RIVERFRONT PKWY, SUITE 102, CHATTANOOGA, TN 37402-2185
(423) 756-2450
(423) 756-5451

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
5960C1
AL
1223P0300X
Periodontics
Primary
9462
TN

Other

Enumeration date
08/13/2012
Last updated
04/12/2015
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