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General NPI Number Information
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NPI Number | 1649860354
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Entity Type | Organization
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Legal Business Name | THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 1745 PHOENIX BLVD STE 335
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City | ATLANTA
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State | GA
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Zip | 30349-5569
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Country | US
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Telephone | 423-296-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 PHOENIX BLVD STE 335
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City | ATLANTA
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State | GA
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Zip | 30349-5569
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Country | US
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Telephone | 423-296-2604
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELISE SHEFFIELD SIMS
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Credential | MD
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Telephone | 423-296-2604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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