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Dr. Nickie K Soufleris, MD
Specialist in Chattanooga, Tennessee
NPI 1033157656

Nickie K Soufleris is a Specialist based in Signal Mtn, TN. Nickie K Soufleris practices in Chattanooga, TN and has the professional credentials of MD. The NPI Number for Nickie K Soufleris is 1033157656 and holds a License No. MD24710 (Tennessee).

The current practice location address for Nickie K Soufleris is 113 Stringer St, Chattanooga, TN and can be reached out via phone at 423-266-5427 and via fax at 423-266-5428.

Location: 113 Stringer St, Chattanooga, TN, 37377-0178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033157656
Provider Name
Nickie K Soufleris
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
113 Stringer St, Chattanooga, TN, 37377-0178
Phone Number
423-266-5427
Fax Number
423-266-5428
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4068642 01 TN BCBS PROVIDER #
MD24710 01 TN MD LICENSE #
institution
Provider Business Practice Location Address Details
Address
113 Stringer St
City
Chattanooga
State
Tennessee
Zip
37405-3254
Phone Number
423-266-5427
Fax Number
423-266-5428
person
Provider Business Mailing Address Details
Address
113 Stringer St
City
Chattanooga
State
Tennessee
Zip
37405-3254
Phone Number
423-266-5427
Fax Number
423-266-5428
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD24710 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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