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MINNIE VANCE NPI 1811154412


NPI Information

NPI: 1811154412
Provider Name: MINNIE VANCE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2507 MCCALLIE AVE
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 624-8226
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MINNIE VANCE is a specialist in Chattanooga, TN. The provider is 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. MINNIE VANCE NPI is 1811154412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2507 MCCALLIE AVE
CHATTANOOGA, TN
ZIP 37404-304
Phone: (423) 624-8226
Fax: (423) 624-2246

The provider's authorized official is Minnie Ratliff Vance .
The authorized official title is Owner,operator and has the following contact phone number (423) 624-8226.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD1768TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A97559MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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