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Organization

ORANGE GROVE CENTER, INC.

Active
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Organization

ORANGE GROVE CENTER, INC.

Active
Parent organization
ORANGE GROVE CENTER, INC.
Other names
Orange Grove Center Primary Health Care Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORANGE GROVE CENTER, INC.
Authorized official
MS. TERA ROBERTS (CEO)
(423) 493-2910
Entity
Organization

Contact information

Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 493-2905
(423) 493-2950
Mailing address
615 DERBY ST, ATTENTION: HEALTH INFORMATICS & REIMBURSEMENT, CHATTANOOGA, TN 37404-1632
(423) 493-2906
(423) 493-2950

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8686
TN
207QA0505X
Adult Medicine Physician
Primary
26723
TN
363LP2300X
Primary Care Nurse Practitioner
13774
TN

Other

Enumeration date
01/24/2007
Last updated
03/04/2024
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