# THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
- **Other names:** Southeast Center for Bone and Joint
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649860354
- **Legal business name:** THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
- **Authorized official:** ELISE SHEFFIELD SIMS MD (OWNER)
- **Authorized official phone:** (423) 296-2604

## Contact information

- **Practice address:** 1745 PHOENIX BLVD STE 335, ATLANTA, GA 30349-5569
- **Practice address phone:** (423) 296-2604
- **Mailing address:** 1745 PHOENIX BLVD STE 335, ATLANTA, GA 30349-5569
- **Mailing address phone:** (423) 296-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2021
- **Last updated:** 01/26/2021