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Organization

PE THAN TIN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PE THAN TIN MD (OWNER)
(706) 866-3777
Entity
Organization

Contact information

Practice address
930 OAK ST, CHATTANOOGA, TN 37403-2410
(423) 266-7392
Mailing address
930 OAK ST, CHATTANOOGA, TN 37403-2410
(423) 266-7392

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000011136
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP4377
MEDICARE
GA
Enumeration date
08/20/2006
Last updated
08/07/2008
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