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Organization
SPIRIT MEDICAL, LLC
Active
Organization
SPIRIT MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CIRCOLONE DIANM (OWNER/PROVIDER)
(423) 855-7376
Entity
Organization
Contact information
Practice address
7446 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2352
(423) 855-7376
Mailing address
7446 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2352
(423) 855-7376
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
—
NULL
111NX0800X
Orthopedic Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
08/02/2024
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