THE PLASTIC SURGERY GROUPPC CHATTANOOGA, TN

Contact Information

THE PLASTIC SURGERY GROUP,PC

1949 GUNBARREL RD STE 303
CHATTANOOGA, TN 37421-3188

Phone: 423-756-7134
Fax: 423-763-4571
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery
Plastic Surgery	208200000X	02	Physician/General Surgery
Surgery of the Hand	2086S0105X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for THE PLASTIC SURGERY GROUPPC · (Female)

NPI #	`1669976213`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/20/2018
Last updated	01/28/2019 - About 7 years ago
Sole proprietor ¹	Not specified
Identifiers	TN License # 26787 TN License # 28796 TN License # 36502 TN License # 38782 TN License # 55433 TN Other 2006636 BLUE CROSS BLUE SHIELD TN Other CL7313 RAILROAD MEDICARE
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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