Mabry, Elizabeth D

Mabry, Elizabeth D is an individual health care provider with primary practice located at 1210 Premier Dr Ste 110 The Pointe, Chattanooga TN 37421-3747. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Mabry, Elizabeth D can be contacted via phone (423) 385-2020.

Contact Information

Primary practice address
1210 Premier Dr Ste 110 The Pointe Chattanooga TN 37421-3747
Phone: (423) 385-2020
Fax: (423) 385-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD 28309 Tennessee

Profile Details

NPI number 1992702021
LBN Legal business name Mabry, Elizabeth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 5th, 2023 - about 2 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 1992702021 NPPES
Tennessee MEDICAID 3084305

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