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RENU CHATTANOOGA PLLC NPI 1396288890


NPI Information

NPI: 1396288890
Provider Name: RENU CHATTANOOGA, PLLC

Doing Business As: RENU CHATTANOOGA

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 44D2154752

Address:
5870 HIGHWAY 153 STE 122
HIXSON, TN
ZIP 37343
Phone: (423) 243-3342
Get Directions

RENU CHATTANOOGA, PLLC is an addiction medicine internal medicine in Hixson, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. RENU CHATTANOOGA, PLLC NPI is 1396288890. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Renu Chattanooga.

The provider's business location address is:

5870 HIGHWAY 153 STE 122
HIXSON, TN
ZIP 37343-826
Phone: (423) 243-3342
Fax: (423) 402-8155

The provider's authorized official is Paula Christine Nicola .
The authorized official title is Facility Director/owner and has the following contact phone number (423) 243-3342.

The CLIA number assigned to this NPI record is 44D2154752 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2016 and was last updated on 8/26/2020.


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
1207RA0401XInternal MedicineAddiction Medicine0000037970TENNESSEEYes

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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