Healthcare Provider Details

I. General information

NPI: 1881256048
Provider Name (Legal Business Name): COMPREHENSIVE SPINE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 POINTE CENTRE DR STE 110
CHATTANOOGA TN
37421-4143
US

IV. Provider business mailing address

1206 POINTE CENTRE DR STE 110
CHATTANOOGA TN
37421-4143
US

V. Phone/Fax

Practice location:
  • Phone: 423-541-5990
  • Fax:
Mailing address:
  • Phone: 423-541-5990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES M OSBORN
Title or Position: PHYSICIAN/SURGEON
Credential: MD
Phone: 423-451-5990