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Organization

BEACON HEALTH ALLIANCE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLLIN G CHERRY (PRESIDENT)
(423) 756-5779
Entity
Organization

Contact information

Practice address
725 GLENWOOD DR, SUITE 480E, CHATTANOOGA, TN 37404-1163
(423) 756-5779
(423) 242-4552
Mailing address
725 GLENWOOD DR, SUITE 480E, CHATTANOOGA, TN 37404-1163
(423) 756-5779
(423) 242-4552

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
05/23/2006
Last updated
11/08/2012
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