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Organization

REHAB SOUTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES W JONES PT (OWNER PRESEDENT)
(423) 877-4599
Entity
Organization

Contact information

Practice address
6121 SHALLOWFORD RD STE 102, CHATTANOOGA, TN 37421-7810
(423) 877-4599
(423) 877-5611
Mailing address
PO BOX 4147, CHATTANOOGA, TN 37405-0147
(423) 877-4599
(423) 877-5611

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
95
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3106308
BLUE CROSE BLUE SHIELD
TN
Enumeration date
03/15/2007
Last updated
06/09/2025
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