# NOVAMED SURGERY CENTER OF CHATTANOOGA LLC

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

## Provider details

- **NPI number:** 1801890173
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 7305 JARNIGAN RD STE 200, CHATTANOOGA, TN 37421-4876
- **Practice address phone:** (866) 631-7890
- **Mailing address:** 7305 JARNIGAN RD STE 200, CHATTANOOGA, TN 37421-4876
- **Mailing address phone:** (866) 631-7890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000000085 | TN | Yes |

## Other

- **Enumeration date:** 06/02/2005
- **Last updated:** 02/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3739862 | — | TN |
| 01 | — | P00118944 | RR MEDICARE | — |