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THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE INC NPI 1043499700


NPI Information

NPI: 1043499700
Provider Name: THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC

Doing Business As: SOUTHEAST CENTER FOR BONE AND JOINT

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1334 MACKEY BRANCH DRIVE
SUITE 103
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 296-2604
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THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC is a general practice in Chattanooga, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC NPI is 1043499700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeast Center For Bone And Joint.

The provider's business location address is:

1334 MACKEY BRANCH DRIVE
SUITE 103
CHATTANOOGA, TN
ZIP 37421-471
Phone: (423) 296-2604
Fax: (423) 296-2607

The provider's authorized official is Jessica Taylor .
The authorized official title is President and has the following contact phone number (423) 296-2604.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 1/7/2021.


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
1111N00000XChiropractor2465TENNESSEENo
2208D00000XGeneral Practice52292TENNESSEENo
3363L00000XNurse Practitioner17939TENNESSEENo
4208D00000XGeneral Practice40410TENNESSEEYes

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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