NPI 1457518227

C. Ann Mashchak, M.D.

Organisation Specialist Ooltewah, TN

Practice location

Address: 9413 Apison Pike Suite 124, Ooltewah, TN 37363-8661
Phone: (423) 624-9830
Fax: (423) 624-0773
Mailing address: PO Box 848873, Boston, MA 02284-8873

Authorised official

Name: Clarissa Ann Mashchak
Title: Owner/Operator
Phone: (423) 624-9830

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1457518227
Entity type: Organization
NPI issued: 20 May 2008
Record last updated: 21 May 2008

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.