Organization
KIDNEY CENTER OF MISSIONARY RIDGE, LLC
Active
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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