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Contact Information

SOUTHERN ORTHOPAEDIC FOOT & ANKLE CTR
725 GLENWOOD DR
STE E884
CHATTANOOGA, TN37404-1182
 Phone: 423-622-3668
 Fax: 423-622-3676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHERN ORTHOPAEDIC FOOT ANKLE CTR · (Female)

NPI # 1235158486
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2006
Last updated 02/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD009321
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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