Provider Demographics
NPI:1760688923
Name:CONATSER, CHAD ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ALAN
Last Name:CONATSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:131 S WEBB AVE
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-8452
Mailing Address - Country:US
Mailing Address - Phone:931-484-5379
Mailing Address - Fax:931-484-5946
Practice Address - Street 1:131 S WEBB AVE
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-8452
Practice Address - Country:US
Practice Address - Phone:931-484-5379
Practice Address - Fax:931-484-5946
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD44713207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine