Organization
EAST RIDGE BRACING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE FULLER (VP OF OPERATIONS)
(423) 771-7955
Entity
Organization
Contact information
Practice address
6802 RINGGOLD RD STE 104, CHATTANOOGA, TN 37412-4256
(423) 771-7955
(423) 771-7956
Mailing address
6802 RINGGOLD RD STE 104, EAST RIDGE, TN 37412-4256
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
09/26/2018
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