Organization
CHATTANOOGA MOBILITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EDWARD DRAKE (OWNER/PRESIDENT)
(423) 875-3456
Entity
Organization
Contact information
Practice address
4825 DAYTON BLVD, SUITE A, CHATTANOOGA, TN 37415-1753
(423) 875-3456
(423) 875-4517
Mailing address
4825 DAYTON BLVD, SUITE A, CHATTANOOGA, TN 37415-1753
(423) 875-3456
(423) 875-4517
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000683
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454647
—
TN
01
—
4096617
BLUECROSSPROVIDERNUMBER
TN
Enumeration date
01/24/2006
Last updated
08/08/2007
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