Organization
CHATTANOOGA SPINE AND BODY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMERO RIVAS II M.D. (OWNER/PHYSICIAN)
(423) 485-3226
Entity
Organization
Contact information
Practice address
5617 HIGHWAY 153, SUITE 103, HIXSON, TN 37343-4675
(423) 485-3226
Mailing address
5617 HIGHWAY 153, SUITE 103, HIXSON, TN 37343-4675
(423) 485-3226
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD0000042493
TN
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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