MEDICARE: FARADAY 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1326629148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARADAY CHATTANOOGA PC

Provider Business Mailing Address
First Line	:	6031 SHALLOWFORD RD STE 113
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1984
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 WESTGATE CIR STE 215
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-8078
Country	:	US
Telephone Number	:	423-825-8500
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LORING HELFRICH
Credential	:
Telephone Number	:	615-290-5490

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	04/08/2022

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