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NPI Code Detail

MEDICARE: CHATTANOOGA CHIROPRACTIC CENTERS, INC.

MEDICARE: CHATTANOOGA CHIROPRACTIC CENTERS, INC.
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
1111N00000XChiropractorDC0000001504TN

General Provider Information

NPI Number : 1912136383
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHATTANOOGA CHIROPRACTIC CENTERS, INC.
Provider Business Mailing Address
First Line : 1334 MACKEY BRANCH DR
Second Line : SUITE 104
City : CHATTANOOGA
State : TN
Zip : 37421-3471
Country : US
Telephone Number : 423-296-2604
Fax Number : 423-296-2607
Provider Business Practice Location Address
First Line : 1334 MACKEY BRANCH DR
Second Line : SUITE 104
City : CHATTANOOGA
State : TN
Zip : 37421-3471
Country : US
Telephone Number : 423-296-2604
Fax Number : 423-296-2607
Authorized Official
Title or Position : OFFICE MANAGER
Name : ANGIE JONES
Credential :
Telephone Number : 423-296-2604
Provider Enumeration Date : 07/07/2009
Last Update Date : 07/07/2009

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Directions to “CHATTANOOGA CHIROPRACTIC CENTERS, INC. ” Practice Location

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