National Provider Identifier Database

THE PLASTIC SURGERY GROUPPC
Plastic and Reconstructive Surgery


Contact Information

THE PLASTIC SURGERY GROUP,PC
1949 GUNBARREL RD STE 303
CHATTANOOGA, TN37421-3188
Phone: 423-756-7134
Fax: 423-763-4571
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for THE PLASTIC SURGERY GROUP,PC

NPI Number 1669976213
Legal business name
LBN
THE PLASTIC SURGERY GROUP,PC
Authorized official BETTYE CHASTAIN - (SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 03/20/2018
Last updated 01/28/2019 - About 7 years ago
Sole proprietor1 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

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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