WADE IN THE WATER MEDICINE LLC NPI 1629416730

NPI Information

WADE IN THE WATER MEDICINE LLC is a specialist in Chattanooga, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WADE IN THE WATER MEDICINE LLC NPI is 1629416730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5600 BRAINERD RD
FC5
CHATTANOOGA, TN
ZIP 37411-310
Phone: (423) 355-5471
Fax: (423) 355-5472

The provider's authorized official is Carroll G Odem .
The authorized official title is President and has the following contact phone number (423) 400-9910.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 4/30/2014.

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:

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