Organization
CHILDRESS & MEYER, PLLC
Active
Organization
CHILDRESS & MEYER, PLLC
Active
Other names
East Brainerd Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN BROWN RDA (OFFICE MANAGER)
(423) 296-8210
Entity
Organization
Contact information
Practice address
1350 MACKEY BRANCH DRIVE, ST. 110, CHATTANOOGA, TN 37421-3482
(423) 296-8210
(423) 296-8292
Mailing address
1350 MACKEY BRANCH DRIVE, ST. 110, CHATTANOOGA, TN 37421
(423) 396-8210
(423) 296-8292
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521422
—
TN
Enumeration date
11/02/2010
Last updated
09/30/2013
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