Organization
COLUMBIA MEDICAL GROUP-PARKRIDGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
935 SPRING CREEK RD, SUITE 205, CHATTANOOGA, TN 37412-3993
(423) 893-9787
Mailing address
935 SPRING CREEK RD, SUITE 205, CHATTANOOGA, TN 37412-3993
(423) 893-9787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3708087
—
TN
05
—
3721128
—
TN
Enumeration date
06/09/2006
Last updated
01/11/2008
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