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Organization
NOVAMED SURGERY CENTER OF CHATTANOOGA LLC
Active
Organization
NOVAMED SURGERY CENTER OF CHATTANOOGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
7305 JARNIGAN RD STE 200, CHATTANOOGA, TN 37421-4876
(866) 631-7890
Mailing address
7305 JARNIGAN RD STE 200, CHATTANOOGA, TN 37421-4876
(866) 631-7890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000085
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739862
—
TN
01
—
P00118944
RR MEDICARE
—
Enumeration date
06/02/2005
Last updated
02/08/2023
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