Healthcare Provider Details

I. General information

NPI: 1124074596
Provider Name (Legal Business Name): ASSOCIATES IN PLASTIC AND RECONSTRUCTIVE SURGERY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 NAVAJO DR
CHATTANOOGA TN
37411-5079
US

IV. Provider business mailing address

3404 NAVAJO DR
CHATTANOOGA TN
37411-5079
US

V. Phone/Fax

Practice location:
  • Phone: 423-624-0021
  • Fax: 423-624-5258
Mailing address:
  • Phone: 423-624-0021
  • Fax: 423-624-5258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CHASE
Title or Position: PRESIDENT
Credential: MD
Phone: 423-624-0021