Organization
DYNAMIC PROSTHETIC & ORTHOTIC, LLC
Active
Other names
Prosthetic And Orthotic Associates of Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CHAO (VICE PRESIDENT)
(423) 622-2000
Entity
Organization
Contact information
Practice address
2116 MCCALLIE AVE, CHATTANOOGA, TN 37404-3118
(423) 622-2000
(423) 622-2400
Mailing address
2116 MCCALLIE AVE, CHATTANOOGA, TN 37404-3118
(423) 622-2000
(423) 622-2400
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951684A
—
GA
05
—
1454227
—
TN
01
—
4033710
BLUECARE/BLUECROSS
TN
Enumeration date
12/10/2007
Last updated
05/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us