| Organization Name: | STEPHEN V. DRESKIN MD PC |
| NPI Number: | 1619056462 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL S CLAPP (BILLING MANAGER) |
| Mailing Address: | 6130 Shallowford Rd Ste 101 Chattanooga |
| State: | TN US |
| Postal Code: | 374217222 |
| Phone Number: | 4236644635 |
| Fax Number: | 4236644640 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 26240 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |