Organization
SLENDER WRAP OF CHATTANOOGA
Active
Other names
Venus Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUERGEN MILDENBERGER (PRESIDENT)
(423) 802-4948
Entity
Organization
Contact information
Practice address
5211 HIGHWAY 153, SUITE D, HIXSON, TN 37343-4956
(423) 802-9848
Mailing address
5211 HIGHWAY 153, SUITE D, HIXSON, TN 37343-4956
(423) 802-9848
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9807
TN
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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