Healthcare Provider Details

I. General information

NPI: 1427210400
Provider Name (Legal Business Name): WOMENS HEALTH SERVICES CHATTANOOGA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7794 RHEA COUNTY HWY
DAYTON TN
37321-5981
US

IV. Provider business mailing address

102 CENTRAL AVE
CHATTANOOGA TN
37403-1503
US

V. Phone/Fax

Practice location:
  • Phone: 423-756-4796
  • Fax: 423-267-7117
Mailing address:
  • Phone: 423-756-4796
  • Fax: 423-267-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. STEPHANIE M. HERRICK
Title or Position: OFFICE MANAGER
Credential:
Phone: 423-756-4796