Organization
NOVAMED SURGERY CENTER OF CHATTANOOGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
7305 JARNIGAN RD STE 200, CHATTANOOGA, TN 37421-4876
(866) 631-7890
Mailing address
7305 JARNIGAN RD STE 200, CHATTANOOGA, TN 37421-4876
(866) 631-7890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000085
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739862
—
TN
01
—
P00118944
RR MEDICARE
—
Enumeration date
06/02/2005
Last updated
02/08/2023
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