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General NPI Number Information
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NPI Number | 1265438303
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Entity Type | Organization
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Legal Business Name | EYE SURGERY CENTER OF CHATTANOOGA, LLC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 7268 JARNIGAN RD STE 104
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3096
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Country | US
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Telephone | 423-643-3937
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Fax | 423-643-3938
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Provider Business Mailing Address
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Address Line | 7268 JARNIGAN RD STE 104
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3096
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Country | US
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Telephone | 423-643-3937
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Fax | 423-643-3938
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN BIERLY
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Credential | MD
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Telephone | 423-643-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 00000162
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License Number State | TN
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