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LANDMARK MEDICAL NPI 1801276316


NPI Information

NPI: 1801276316
Provider Name: LANDMARK MEDICAL
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
103 JORDAN DR
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 805-5113
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LANDMARK MEDICAL 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 LANDMARK MEDICAL NPI is 1801276316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 JORDAN DR
CHATTANOOGA, TN
ZIP 37421-715
Phone: (423) 805-5113
Fax: (423) 805-5139

The provider's authorized official is Christian Stovall .
The authorized official title is President and has the following contact phone number (901) 233-9201.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 11/6/2015.


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
1208D00000XGeneral PracticeYes

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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