Organization
STELLAR MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY CHRISTOPHER (CFO)
(423) 622-1551
Entity
Organization
Contact information
Practice address
2120 MAE DELL ROAD, CHATTANOOGA, TN 37421-2455
(423) 622-1551
(877) 856-7133
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114
(423) 622-1551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037117
—
TN
Enumeration date
07/03/2018
Last updated
05/17/2021
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