Healthcare Provider Details

I. General information

NPI: 1174739908
Provider Name (Legal Business Name): CHATTANOOGA EMERGENCY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 DESALES AVE
CHATTANOOGA TN
37404-1161
US

IV. Provider business mailing address

725 GLENWOOD DR SUITE E-487
CHATTANOOGA TN
37404-1163
US

V. Phone/Fax

Practice location:
  • Phone: 330-994-4409
  • Fax: 330-492-8489
Mailing address:
  • Phone: 330-994-4409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEANN K CHAMPION
Title or Position: PRESIDENT
Credential: MD
Phone: 423-697-0014