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CHATTANOOGA PODIATRY CENTER PC NPI 1366507360


NPI Information

NPI: 1366507360
Provider Name: CHATTANOOGA PODIATRY CENTER, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
600 N HOLTZCLAW AVE
SUITE 210
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 698-2406
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CHATTANOOGA PODIATRY CENTER, PC is a foot and ankle surgery podiatrist in Chattanooga, TN. CHATTANOOGA PODIATRY CENTER, PC NPI is 1366507360. The provider is registered as an organization entity type.

The provider's business location address is:

600 N HOLTZCLAW AVE
SUITE 210
CHATTANOOGA, TN
ZIP 37404-242
Phone: (423) 698-2406
Fax: (423) 698-1667

The provider's authorized official is Arlene Joy Pickett .
The authorized official title is Corporate Officer and has the following contact phone number (423) 698-2407.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 10/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213ES0103XPodiatristFoot & Ankle Surgery663TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13353754MEDICARE PINTENNESSEE
25315940001MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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