Healthcare Provider Details

I. General information

NPI: 1861516932
Provider Name (Legal Business Name): CINDY MARIE MCCORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 03/07/2023
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7161 LEE HWY STE 300
CHATTANOOGA TN
37421-8609
US

IV. Provider business mailing address

7161 LEE HWY STE 300
CHATTANOOGA TN
37421-8609
US

V. Phone/Fax

Practice location:
  • Phone: 423-418-6369
  • Fax: 615-235-1300
Mailing address:
  • Phone: 423-418-6369
  • Fax: 615-235-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number53638
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: