is a Surgery in Chattanooga, Tennessee. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1245497908. The last update date is .
's current location address is 979 E 3rd St Ste 300, Chattanooga, Tennessee. You can contact this provider via phone number 4232670466 and fax number 4237570770. The mailing address for is 979 E 3rd St Ste 300, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 979 E 3rd St Ste 300, Chattanooga, Tennessee |
| Phone Number | 4232670466 |
| Fax Number | 4237570770 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245497908 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 979 E 3rd St Ste 300 |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374032187 |
| Phone Number | 4232670466 |
| Fax Number | 4237570770 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 48252 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 153664 | AL | -- | |
| P01276012 | RR MEDICARE | ||
| 4354499 | TN | BCBS | |
| Q002628 | TN | -- | |
| 003135926A | GA | -- |
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