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General NPI Number Information
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NPI Number | 1659405066
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Entity Type | Organization
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Legal Business Name | REHAB SOUTH
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 6121 SHALLOWFORD RD STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7810
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Country | US
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Telephone | 423-877-4599
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Fax | 423-877-5611
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Provider Business Mailing Address
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Address Line | PO BOX 4147
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City | CHATTANOOGA
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State | TN
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Zip | 37405-0147
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Country | US
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Telephone | 423-877-4599
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Fax | 423-877-5611
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Authorized Official
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Title or Position | OWNER PRESEDENT
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Name | MR. CHARLES W JONES
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Credential | PT
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Telephone | 423-877-4599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 95
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License Number State | TN
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