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Individual

ANN STECIW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404-1161
(423) 495-2620
(423) 495-2625
Mailing address
P.O. BOX 116638, ATLANTA, GA 30368-6638
(864) 573-6320

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
41916
TN
207RP1001X
Pulmonary Disease Physician
28291
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3834059
TN
Enumeration date
04/18/2006
Last updated
07/28/2009
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