NPI 1073801965 · live from the CMS NPI Registry
Randi Shae Connor, M.D.
Obstetrics & Gynecology, Gynecologic Oncology in Chattanooga, TN. National Provider Identifier 1073801965, active.
NPI record
| NPI | 1073801965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecologic Oncology 207VX0201X |
| Practice location | 102 Central Ave, Chattanooga, TN 37403 |
| Practice phone | 423-266-3636 |
| Enumerated | July 13, 2011 |
| Last updated | June 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology primary | 207VX0201X | 57517 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.