Provider Demographics
NPI:1184052722
Name:HEARTH MD PLLC
Entity type:Organization
Organization Name:HEARTH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-280-0433
Mailing Address - Street 1:1800A ROSSVILLE AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408-1912
Mailing Address - Country:US
Mailing Address - Phone:423-531-6555
Mailing Address - Fax:423-531-6565
Practice Address - Street 1:1800A ROSSVILLE AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-1912
Practice Address - Country:US
Practice Address - Phone:423-531-6555
Practice Address - Fax:423-531-6565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000029730207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty