Healthcare Provider Details
I. General information
NPI: 1689821902
Provider Name (Legal Business Name): TENNESSEE REPRODUCTIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6031 SHALLOWFORD RD SUITE 101
CHATTANOOGA TN
37421-1983
US
IV. Provider business mailing address
6031 SHALLOWFORD RD SUITE 101
CHATTANOOGA TN
37421-1983
US
V. Phone/Fax
- Phone: 423-876-2229
- Fax:
- Phone: 423-876-2229
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RINGLAND
SMITH
MURRAY
JR.
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 901-921-0555