# OBSTETRICS & GYNECOLOGY OF HIXSON, PLLC

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

## Provider details

- **NPI number:** 1669703849
- **Authorized official:** SUSAN M SHUCK MD (OWNER)
- **Authorized official phone:** (423) 702-9240

## Contact information

- **Practice address:** 2051 HAMILL RD, SUITE 211, HIXSON, TN 37343-6614
- **Practice address phone:** (423) 702-9240
- **Practice address fax:** (423) 702-9245
- **Mailing address:** PO BOX 11026, CHATTANOOGA, TN 37401-2026
- **Mailing address phone:** (423) 702-9240
- **Mailing address fax:** (423) 702-9245

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 01/27/2010