Organization
THE WEIGHT LOSS CENTER OF CHATTANOOGA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME PONCE-PORTUGAL MD (OWNER)
(706) 537-7499
Entity
Organization
Contact information
Practice address
7405 SHALLOWFORD RD STE 320, CHATTANOOGA, TN 37421-2662
(706) 537-7499
Mailing address
7405 SHALLOWFORD RD STE 320, CHATTANOOGA, TN 37421-2662
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
01/16/2025
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