# ASSOCIATES IN GENERAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104958487
- **Authorized official:** DANIEL L. HEITHOLD MD (OWNER)
- **Authorized official phone:** (423) 362-4554

## Contact information

- **Practice address:** 721 GLENWOOD DR., SUITE W-462, CHATTANOOGA, TN 37404
- **Practice address phone:** (423) 362-4554
- **Practice address fax:** (423) 362-4550
- **Mailing address:** PO BOX 867, CHATTANOOGA, TN 37401-0867
- **Mailing address phone:** (423) 362-4554
- **Mailing address fax:** (423) 362-4550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 43386 | GA | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 10/23/2014