Healthcare Provider Details

I. General information

NPI: 1780525733
Provider Name (Legal Business Name): ABIGAIL MOORE SILVERBLATT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7693 RHEA COUNTY HWY STE 3
DAYTON TN
37321-6083
US

IV. Provider business mailing address

320 YORKSHIRE LN
CHATTANOOGA TN
37415-1307
US

V. Phone/Fax

Practice location:
  • Phone: 423-570-8545
  • Fax:
Mailing address:
  • Phone: 423-785-7196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number40981
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: