MEDICARE: ERLANGER HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207Q00000X	Family Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207T00000X	Neurological Surgery Physician
5	207V00000X	Obstetrics & Gynecology Physician
6	207X00000X	Orthopaedic Surgery Physician
7	208000000X	Pediatrics Physician
8	208100000X	Physical Medicine & Rehabilitation Physician
9	2084P0800X	Psychiatry Physician
10	2085R0202X	Diagnostic Radiology Physician
11	208600000X	Surgery Physician
12	208800000X	Urology Physician
13	208M00000X	Hospitalist Physician
14	225100000X	Physical Therapist
15	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1871295709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERLANGER HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 11589
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37401-2589
Country	:	US
Telephone Number	:	423-778-8682
Fax Number	:

Provider Business Practice Location Address
First Line	:	6984 NASHVILLE ST
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-2420
Country	:	US
Telephone Number	:	423-778-8682
Fax Number	:

Authorized Official
Title or Position	:	CFO, EVP
Name	:	LYNN DEJACO
Credential	:
Telephone Number	:	423-778-7212

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	03/22/2023

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Directions to “ERLANGER HEALTH ” Practice Location

Language	Start Address	Practice Location

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