Healthcare Provider Details

I. General information

NPI: 1659658375
Provider Name (Legal Business Name): NOVAMED SURGERY CENTER OF CHATTANOOGA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2011
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 JARNIGAN RD STE 200
CHATTANOOGA TN
37421-4876
US

IV. Provider business mailing address

7305 JARNIGAN RD STE 200
CHATTANOOGA TN
37421-4876
US

V. Phone/Fax

Practice location:
  • Phone: 866-631-7890
  • Fax:
Mailing address:
  • Phone: 866-631-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BOYD BALDOCK
Title or Position: OFFICER AND AUTHORIZED OFFICIAL
Credential:
Phone: 615-234-5954