Organization
PE THAN TIN MD PC
Active
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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