# THE SHOT STOP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Shot Stop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740010826
- **Authorized official:** NATALIE L SIRACUSA (CEO)
- **Authorized official phone:** (901) 218-9819

## Contact information

- **Practice address:** 1200 MOUNTAIN CREEK RD STE 485-5, CHATTANOOGA, TN 37405-1687
- **Practice address phone:** (901) 218-9819
- **Practice address fax:** (888) 527-6330
- **Mailing address:** 637 LULLWATER RD, CHATTANOOGA, TN 37405-4619
- **Mailing address phone:** (901) 218-9819
- **Mailing address fax:** (888) 527-6330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/05/2024