Organization
TENNESSEE VALLEY BONE AND JOINT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARM B PERRY (BILLING / CREDENTIALING MANAGER)
(423) 303-3634
Entity
Organization
Contact information
Practice address
301 WHITE OAK RD, DAYTON, TN 37321-2530
(423) 303-3634
(423) 303-3632
Mailing address
PO BOX 11004, CHATTANOOGA, TN 37401-2004
(423) 303-3634
(423) 303-3632
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370198
—
TN
Enumeration date
06/16/2022
Last updated
06/16/2022
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