# BSMD CHATTANOOGA, PC

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

## Provider details

- **NPI number:** 1467794909
- **Authorized official:** RUTH MARTIKAINEN (BILLING DIRECTOR)
- **Authorized official phone:** (828) 339-7253

## Contact information

- **Practice address:** 1511 GUNBARREL RD, STE 111, CHATTANOOGA, TN 37421-3897
- **Practice address phone:** (423) 553-5999
- **Practice address fax:** (423) 553-5640
- **Mailing address:** PO BOX 321, SYLVA, NC 28779-0321
- **Mailing address phone:** (828) 586-8160
- **Mailing address fax:** (828) 586-8209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34464 | TN | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 04/18/2013