Individual
VINCENT A VISCOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 GLENWOOD DRIVE, SUITE E-680, CHATTANOOGA, TN 37404-1176
(423) 495-7378
(423) 495-4425
Mailing address
PO BOX 24325, CHATTANOOGA, TN 37422-4325
(423) 495-7378
(423) 495-4425
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412739C
—
GA
05
—
3049230
—
TN
Enumeration date
12/08/2005
Last updated
09/27/2011
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