Organization
THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
Active
Parent organization
THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
Other names
Southeast Center for Bone and Joint
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHATTANOOGA SPINE AND WELLNESS INSTITUTE, INC
Authorized official
JESSICA NOEL TAYLOR (CLINIC DIRECTOR)
(423) 296-2604
Entity
Organization
Contact information
Practice address
6250 ABBOTTS BRIDGE RD STE 100, DULUTH, GA 30097-1713
(423) 296-2604
(423) 296-2607
Mailing address
6250 ABBOTTS BRIDGE RD STE 100, DULUTH, GA 30097-1713
(423) 296-2604
(423) 296-2607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3957
MEDICARE
GA
Enumeration date
03/03/2021
Last updated
03/03/2021
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