# BEACON HEALTH ALLIANCE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beacon Health OBGYN Associates HIX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174795645
- **Authorized official:** SHEILA MANLEY (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (423) 495-4806

## Contact information

- **Practice address:** 2051 HAMILL RD, SUITE 110B, HIXSON, TN 37343-6614
- **Practice address phone:** (423) 778-9500
- **Practice address fax:** (423) 778-9575
- **Mailing address:** PO BOX 6159, CHATTANOOGA, TN 37401-6159
- **Mailing address phone:** (423) 495-4939
- **Mailing address fax:** (423) 495-4970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 06/02/2009