Individual
PENNY Y O'NEAL - WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8306
Mailing address
878 AVON PL, CHATTANOOGA, TN 37405-2339
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000064824
TN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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