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Organization

THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC

Active
Parent organization
THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
Other names
Southeast Center for Bone and Joint
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
Authorized official
ELISE SHEFFIELD SIMS MD (OWNER)
(423) 296-2604
Entity
Organization

Contact information

Practice address
1745 PHOENIX BLVD STE 335, ATLANTA, GA 30349-5569
(423) 296-2604
Mailing address
1745 PHOENIX BLVD STE 335, ATLANTA, GA 30349-5569
(423) 296-2604

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3957
MEDICARE PTAN
GA
Enumeration date
01/26/2021
Last updated
01/26/2021
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