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Organization
TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC
Active
Organization
TENNESSEE INSTITUTE FOR MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R. COOK III (CHIEF MEDICAL OFFICER)
(423) 855-5550
Entity
Organization
Contact information
Practice address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182
Mailing address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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