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COMPREHENSIVE MEDICAL CARE P.C. NPI 1316915986


NPI Information

NPI: 1316915986
Provider Name: COMPREHENSIVE MEDICAL CARE, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
6918 SHALLOWFORD RD
SUITE 206
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 855-2552
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COMPREHENSIVE MEDICAL CARE, P.C. is a pediatrics in Chattanooga, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COMPREHENSIVE MEDICAL CARE, P.C. NPI is 1316915986. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6918 SHALLOWFORD RD
SUITE 206
CHATTANOOGA, TN
ZIP 37421-784
Phone: (423) 855-2552

The provider's authorized official is Ron B Whitmire .
The authorized official title is Administrator and has the following contact phone number (423) 855-2552.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 9/30/2015.


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
1207Q00000XFamily MedicineTENNESSEENo
2207R00000XInternal MedicineTENNESSEENo
3207Y00000XOtolaryngologyTENNESSEENo
4363LP0200XNurse PractitionerPediatricsTENNESSEENo
5363LF0000XNurse PractitionerFamilyTENNESSEENo
6208000000XPediatricsTENNESSEEYes

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
13702022MEDICAIDTENNESSEE
23702022MEDICARE PINTENNESSEE

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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