Organization
THE PLASTIC SURGERY GROUP,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTYE J CHASTAIN (SUPERVISOR)
(423) 763-4543
Entity
Organization
Contact information
Practice address
1949 GUNBARREL RD STE 303, CHATTANOOGA, TN 37421-3188
(423) 756-7134
Mailing address
901 RIVERFRONT PARKWAY, STE 100, CHATTANOOGA, TN 37402-2102
(423) 756-7134
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
01/28/2019
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