Whalio Doctors

NPI 1184102881

A Pattern Medical Clinic

Organisation Multi-Specialty Clinic/Center Ooltewah, TN

Practice location

Address
5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357
Phone
(423) 455-2711
Fax
(423) 465-4589

Authorised official

Name
Annex Luberisse
Title
Director of Operations
Phone
(660) 229-0858

Registered specialties (2)

Multi-Specialty Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QM1300X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1184102881
Entity type
Organization
NPI issued
3 Aug 2018
Record last updated
6 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.