C. Ann Mashchak, M.d.

NPI #1457518227 in Ooltewah, Tennessee

Provider Information

NPI Number: 1457518227
Entity Type: Organization
Organization Name: C. Ann Mashchak, M.d.
Primary Specialty: Specialist
Enumeration Date: May 20, 2008
Last Updated: May 21, 2008

Practice Location

Address: 9413 APISON PIKE
Address 2: SUITE 124
City: Ooltewah
State: Tennessee
ZIP Code: 37363-8661
Phone: (423) 624-9830

Authorized Official

Name: DR. CLARISSA ANN MASHCHAK, M.D.
Title: OWNER/OPERATOR
Phone: (423) 624-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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