Organization
ASSOCIATES IN GENERAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L. HEITHOLD MD (OWNER)
(423) 362-4554
Entity
Organization
Contact information
Practice address
721 GLENWOOD DR., SUITE W-462, CHATTANOOGA, TN 37404
(423) 362-4554
(423) 362-4550
Mailing address
PO BOX 867, CHATTANOOGA, TN 37401-0867
(423) 362-4554
(423) 362-4550
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
43386
GA
Other
Enumeration date
03/12/2007
Last updated
10/23/2014
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