Organization
THE NEUROSURGICAL GROUP OF CHATTANOOGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOEBE A SMITH (BILLING OFFICE MANAGER)
(423) 321-1157
Entity
Organization
Contact information
Practice address
1010 E 3RD ST, SUITE 202, CHATTANOOGA, TN 37403-2109
(423) 265-2233
(423) 756-8265
Mailing address
1010 E 3RD ST, SUITE 202, CHATTANOOGA, TN 37403-2109
(423) 265-2233
(423) 756-8265
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB0525
RAILROAD MEDICARE
TN
Enumeration date
10/11/2006
Last updated
03/29/2013
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