Organization
THE PLASTIC SURGERY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A SIMPSON (ADMINISTRATOR)
(423) 756-7134
Entity
Organization
Contact information
Practice address
901 RIVERFRONT PARKWAY, STE 100, CHATTANOOGA, TN 37402-2136
(423) 756-7134
(423) 763-4571
Mailing address
901 RIVERFRONT PARKWAY, STE 100, CHATTANOOGA, TN 37402-2102
(423) 756-7134
(423) 763-4571
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006636
BLUE CROSS BLUE SHIELD
TN
01
—
CL7313
RAILROAD MEDICARE
TN
Enumeration date
03/28/2006
Last updated
01/28/2019
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