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Contact Information

CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC
6035 SHALLOWFORD RD
SUITE 101
CHATTANOOGA, TN37421-1688
 Phone: 423-499-0003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC

NPI # 1265687917
LBN Legal business name CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC
Authorized official JEFFERY HALL - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2008
Last updated 11/24/2008 - About 18 years ago
Identifiers
TN License # 1241
TN License # 1789
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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