Organization
CHATTANOOGA PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LEECH (MANAGER)
(423) 826-8200
Entity
Organization
Contact information
Practice address
1616 GUNBARREL RD, SUITE 103, CHATTANOOGA, TN 37421-4136
(423) 826-8200
(423) 826-8201
Mailing address
1616 GUNBARREL RD, SUITE 103, CHATTANOOGA, TN 37421-4136
(423) 826-8200
(423) 826-8201
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD0000018072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003154377
BLUE CROSS
TN
01
—
1340106
UHC
TN
01
—
139412005329
HUMANA
TN
01
—
260118895
TRICARE
TN
01
—
351793500
US DEPART OF LABOR
TN
01
—
4953610
CIGNA
TN
01
—
5959415
AETNA
TN
01
—
602003938
CARITEN
TN
Enumeration date
12/01/2006
Last updated
04/20/2008
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