Tudor, Maria E

Tudor, Maria E is an individual health care provider with primary practice located at 2525 Desales Ave , Chattanooga TN 37404-1161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Tudor, Maria E can be contacted via phone (423) 495-2620.

Contact Information

Primary practice address
2525 Desales Ave Chattanooga TN 37404-1161
Phone: (423) 495-2620
Fax: (423) 495-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1681 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 1681 Tennessee

Profile Details

NPI number 1265480438
LBN Legal business name Tudor, Maria E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265480438 NPPES
Georgia MEDICAID 630361571A

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