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General NPI Number Information
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NPI Number | 1699886739
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Entity Type | Organization
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Legal Business Name | ADMED, P.C.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 105 LEE PARKWAY DR SUITE A
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6708
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Country | US
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Telephone | 423-855-9991
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Fax | 423-855-4262
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Provider Business Mailing Address
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Address Line | 105 LEE PARKWAY DR SUITE A
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6708
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Country | US
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Telephone | 423-855-9991
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Fax | 423-855-4262
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DEBORAH JOANNE POTEET-JOHNSON
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Credential | M.D.
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Telephone | 423-855-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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