THE PLASTIC SURGERY GROUP,PC; NPI #1669976213

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 GROUP,PC

NPI Number 1669976213

LBN Legal business name THE PLASTIC SURGERY GROUP,PC

Authorized official BETTYE CHASTAIN - (SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2018

Last updated 01/28/2019 - About 7 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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