Healthcare Provider Details

I. General information

NPI: 1205882529
Provider Name (Legal Business Name): HEALTHFORCE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 ALPHA LN
HIXSON TN
37343-4054
US

IV. Provider business mailing address

PO BOX 22696
CHATTANOOGA TN
37422-2696
US

V. Phone/Fax

Practice location:
  • Phone: 423-870-1662
  • Fax: 423-877-4845
Mailing address:
  • Phone: 423-870-1662
  • Fax: 423-877-4845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MARWAN MOUGHRABI
Title or Position: PRESIDENT
Credential: NP-C
Phone: 423-870-1662