Organization
SPINE SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE H WEAVER (OFFICE MANAGER)
(423) 756-6623
Entity
Organization
Contact information
Practice address
1736 GUNBARREL RD, CHATTANOOGA, TN 37421-3127
(423) 756-6623
(423) 531-9403
Mailing address
1736 GUNBARREL ROAD, CHATTANOOGA, TN 37421-3127
(423) 756-6623
(423) 531-9403
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3385186
—
TN
Enumeration date
01/11/2007
Last updated
01/12/2012
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