Organization
COMPREHENSIVE MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON B WHITMIRE (ADMINISTRATOR)
(423) 855-2552
Entity
Organization
Contact information
Practice address
6918 SHALLOWFORD RD, SUITE 206, CHATTANOOGA, TN 37421-6784
(423) 855-2552
Mailing address
6918 SHALLOWFORD RD, SUITE 206, CHATTANOOGA, TN 37421-6784
(423) 855-2552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TN
207R00000X
Internal Medicine Physician
—
TN
207Y00000X
Otolaryngology Physician
—
TN
208000000X
Pediatrics Physician
Primary
—
TN
363LF0000X
Family Nurse Practitioner
—
TN
363LP0200X
Pediatric Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3702022
—
TN
Enumeration date
03/09/2006
Last updated
09/30/2015
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