Stephen Ronald Douglas Bo Brackett M.D.

NPI 1184829046 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1184829046
Gender Male
Enumeration Date 06/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
975 E 3RD ST
ERLANGER MEDICAL CENTER
CHATTANOOGA TN, 37403-2103, US
Phone (423) 778-7695
Fax
Business Location
622 GEORGIA AVE
APT 107
CHATTANOOGA TN, 37402-1406, US
Phone (256) 490-2502
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Stephen Ronald Douglas Bo Brackett M.D. NPI is 1184829046, taxonomy code is 390200000X Stephen Ronald Douglas Bo Brackett M.D. physically located at 975 E 3rd St, Chattanooga TN, 37403-2103. NPI Number Stephen Ronald Douglas Bo Brackett M.D. has the Individual type.

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1184829046 NPI number is provided on an as is basis without warranty of any kind. 1184829046 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Ronald Douglas Bo Brackett M.D. are for informational purposes only.