# CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1265687917
- **Authorized official:** DR. JEFFERY G HALL DC (MEMBER)
- **Authorized official phone:** (423) 499-0003

## Contact information

- **Practice address:** 6035 SHALLOWFORD RD, SUITE 101, CHATTANOOGA, TN 37421-1688
- **Practice address phone:** (423) 499-0003
- **Mailing address:** 6035 SHALLOWFORD RD, SUITE 101, CHATTANOOGA, TN 37421-1688
- **Mailing address phone:** (423) 499-0003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 1789 | TN | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 1241 | TN | — |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/24/2008