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General NPI Number Information
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NPI Number | 1730707472
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Entity Type | Organization
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Legal Business Name | CHI MEMORIAL HOSPITAL - GEORGIA
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 4700 BATTLEFIELD PKWY
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City | RINGGOLD
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State | GA
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Zip | 30736-5166
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Country | US
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Telephone | 423-495-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 DE SALES AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404
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Country | US
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Telephone | 423-495-2777
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Fax | 423-495-6260
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL DAVID SUTTON
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Credential |
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Telephone | 423-495-8488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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