is a Colon & Rectal Surgery in Chattanooga, Tennessee. practices all healthcare services and medical treatments related to Colon & Rectal 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 | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | MD48252 |
|
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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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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