Organization
SOUTHEAST CENTER FOR REGENERATIVE WOUND CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TAYLOR (CLINIC DIRECTOR)
(423) 718-5380
Entity
Organization
Contact information
Practice address
1334 MACKEY BRANCH DR STE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Mailing address
1334 MACKEY BRANCH DR STE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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