Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fearfully and Wonderfully Made OBGYN PLLC

Organization Obstetrics & Gynecology Physician · NPI 1619498672

Fearfully and Wonderfully Made OBGYN PLLC is an Obstetrics & Gynecology Physician in Chattanooga, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4012 W Ave
Chattanooga, TN 37410-1594
Phone: (423) 498-2300
Fax: (423) 498-2301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1619498672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Sanders — Owner · (423) 498-2300
NPI enumeratedJune 29, 2017
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing addressPo Box 2217, Chattanooga, TN 37409-0217

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