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NPI Code Detail

MEDICARE: CHATTANOOGA REHABILITATION ASSOCIATES, PC

MEDICARE: CHATTANOOGA REHABILITATION ASSOCIATES, 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
1208100000XPhysical Medicine & Rehabilitation Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23161364OTHERTNBCBSTN

General Provider Information

NPI Number : 1891741971
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHATTANOOGA REHABILITATION ASSOCIATES, PC
Provider Business Mailing Address
First Line : 1 SISKIN PLZ
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-1306
Country : US
Telephone Number : 423-634-4226
Fax Number : 423-634-4226
Provider Business Practice Location Address
First Line : 1 SISKIN PLZ
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-1306
Country : US
Telephone Number : 423-634-4226
Fax Number : 423-634-4226
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JAMES LORD
Credential :
Telephone Number : 423-634-4226
Provider Enumeration Date : 05/26/2006
Last Update Date : 10/11/2007

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Directions to “CHATTANOOGA REHABILITATION ASSOCIATES, PC ” Practice Location

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