MEDICARE: WOMENS HEALTH SERVICES CHATTANOOGA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		TN

General Provider Information

NPI Number	:	1003001066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENS HEALTH SERVICES CHATTANOOGA PC

Provider Business Mailing Address
First Line	:	6845 MOUNTAIN VIEW RD
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-6561
Country	:	US
Telephone Number	:	423-910-0896
Fax Number	:	423-910-1183

Provider Business Practice Location Address
First Line	:	6845 MOUNTAIN VIEW RD
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-6561
Country	:	US
Telephone Number	:	423-910-0896
Fax Number	:	423-910-1183

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. KIM T JOHNSON
Credential	:
Telephone Number	:	706-861-4508

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	07/21/2022

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