Individual
DR. AMI HEATHER CHATTIN PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
(865) 539-8008
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD36241
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000976225A
—
GA
05
—
000976225B
—
GA
05
—
009909735
—
AL
05
—
009911918
—
AL
05
—
3874744
—
TN
05
—
3874745
—
TN
01
—
4046752
BCBS OF TENNESSEE
TN
01
—
4152443
BLUE CROSS
TN
01
—
P00191712
RAILROAD MEDICARE
TN
Enumeration date
08/31/2006
Last updated
02/12/2019
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