# HERITAGE OB GYN CLINIC OF CHATTANOOGA PLLC

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

## Provider details

- **NPI number:** 1629687314
- **Authorized official:** GREGG A WILLIS MD (OWNER)
- **Authorized official phone:** (423) 206-2655

## Contact information

- **Practice address:** 935 SPRING CREEK RD, CHATTANOOGA, TN 37412-3993
- **Practice address phone:** (423) 206-2655
- **Practice address fax:** (423) 206-2656
- **Mailing address:** 935 SPRING CREEK RD, CHATTANOOGA, TN 37412-3993
- **Mailing address phone:** (423) 206-2655
- **Mailing address fax:** (423) 206-2656

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2020
- **Last updated:** 07/29/2020