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Organization

EAST BRAINERD PODIATRY CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REVA FAYE SMITH (OFFICE MANAGER)
(423) 285-4970
Entity
Organization

Contact information

Practice address
7694 E BRAINERD RD, CHATTANOOGA, TN 37421-3162
(423) 316-0957
Mailing address
7694 E BRAINERD RD, CHATTANOOGA, TN 37421-3162
(423) 316-0957

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
12/02/2021
Last updated
12/28/2021
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