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Individual

DR. AMI HEATHER CHATTIN PONCE

Active
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Individual

DR. AMI HEATHER CHATTIN PONCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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