Organization
CHATTANOOGA CARDIAC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN KENNETH AUSTIN M.D. (OWNER)
(423) 495-9581
Entity
Organization
Contact information
Practice address
1017 EXECUTIVE DR, SUITE 101, HIXSON, TN 37343-7910
(423) 495-9581
(423) 495-9583
Mailing address
1017 EXECUTIVE DR, SUITE 101, HIXSON, TN 37343-7910
(423) 495-9581
(423) 495-9583
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD0000022043
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076909
—
TN
Enumeration date
06/18/2012
Last updated
06/18/2012
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