Healthcare Provider Details

I. General information

NPI: 1215112891
Provider Name (Legal Business Name): DOCTORS HOME VISITS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 05/12/2024
Certification Date: 05/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 HIGHWOOD DR
CHATTANOOGA TN
37415-3101
US

IV. Provider business mailing address

PO BOX 1615
SODDY DAISY TN
37384-1615
US

V. Phone/Fax

Practice location:
  • Phone: 423-451-7623
  • Fax: 423-451-7677
Mailing address:
  • Phone: 423-451-7623
  • Fax: 423-451-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number35091
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRENDA H LESLIE
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 423-774-5186