Organization
KIDNEY CENTER OF MISSIONARY RIDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN CHAMBERLAIN M.D. (ADMINISTRATOR)
(423) 468-1000
Entity
Organization
Contact information
Practice address
3810 BRAINERD RD, CHATTANOOGA, TN 37411-3729
(423) 486-9510
(423) 486-9512
Mailing address
3810 BRAINERD RD, CHATTANOOGA, TN 37411-3729
(423) 486-9510
(423) 486-9512
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
01/17/2014
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