# CHATTANOOGA SPINE AND BODY, INC

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

## Provider details

- **NPI number:** 1740671668
- **Authorized official:** DR. HOMERO RIVAS II M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (423) 485-3226

## Contact information

- **Practice address:** 5617 HIGHWAY 153, SUITE 103, HIXSON, TN 37343-4675
- **Practice address phone:** (423) 485-3226
- **Mailing address:** 5617 HIGHWAY 153, SUITE 103, HIXSON, TN 37343-4675
- **Mailing address phone:** (423) 485-3226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD0000042493 | TN | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015