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Main Street Medical, Pllc
Specialist in Ooltewah, Tennessee
NPI 1417230129

Main Street Medical, Pllc is a Specialist based in Signal Mtn, TN. Main Street Medical, Pllc practices in Ooltewah, TN. The NPI Number for Main Street Medical, Pllc is 1417230129 and holds a License No. (Tennessee).

The current practice location address for Main Street Medical, Pllc is 1667 Ooltewah Ringgold Rd, Ooltewah, TN and can be reached out via phone at 423-886-7545.

Location: 1667 Ooltewah Ringgold Rd, Ooltewah, TN, 37377-2086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417230129
Provider Name
Main Street Medical, Pllc
Credential
Provider Entity Type
Organization
Address
1667 Ooltewah Ringgold Rd, Ooltewah, TN, 37377-2086
Phone Number
423-886-7545
Fax Number
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1667 Ooltewah Ringgold Rd
City
Ooltewah
State
Tennessee
Zip
37363-9830
Phone Number
423-886-7545
Fax Number
person
Provider Business Mailing Address Details
Address
1667 Ooltewah Ringgold Rd
City
Ooltewah
State
Tennessee
Zip
37363-9830
Phone Number
423-886-7545
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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