Dale Clifford Ingram MD

NPI 1841276052

Information of Dale Clifford Ingram MD

The NPI 1841276052 is an Individual type. NPI No 1841276052 belongs to Dale Clifford Ingram. Dale Clifford Ingram MD specializes in Specialist. He is practising at 979 E 3rd St, Chattanooga, Tennessee 37403. You can also contact him via phone number (423) 267-4585.

Practice address located

  • 979 E 3rd St
  • Chattanooga, Tennessee 37403
  • (423) 267-4585
  • (423) 267-4585

Mailling address located

  • 979 E 3rd St
  • Chattanooga, Tennessee 37403
  • (423) 267-4585
  • (423) 265-4098
Dale Clifford Ingram MD is PECOS enrolled.
NPI No 1841276052
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes174400000XSpecialistD45727Tennessee
Identifier for this provider
StateIdentifierTypeIssuer
TN3871652Medicare ID-Type Unspecifiedn/a
TNAI1759022Medicare UPINn/a
TNAI1759022OtherDEA
TN1004130001Medicare NSCn/a
TN3871652Medicaidn/a
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