Organization
CHATTANOOGA ORTHOPAEDIC GROUP, PC
Active
Organization
CHATTANOOGA ORTHOPAEDIC GROUP, PC
Active
Other names
CENTER FOR SPORTS MEDICINE AND ORTHOPAEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BURNETT MBA (CEO)
(423) 697-8766
Entity
Organization
Contact information
Practice address
2051B HAMILL RD, HIXSON, TN 37343-4085
(423) 624-2696
(423) 697-2055
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/12/2007
Last updated
04/23/2013
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