MAIN STREET MEDICAL, PLLC is a specialist in Ooltewah, 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. MAIN STREET MEDICAL, PLLC NPI is 1417230129. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Main Street Medicine.
The provider's business location address is:
1667 OOLTEWAH RINGGOLD RD
OOLTEWAH, TN
ZIP 37363-830
Phone: (423) 886-7545
The provider's authorized official is Paul A Miranda .
The authorized official title is Authorized User and has the following contact phone number (423) 521-5404.
The enumeration date for this NPI number is 9/20/2011 and was last updated on 2/9/2020.