Organization
SOUTHEAST TENNESSEE SPINE AND NERVE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALL (CLINICDIRECTOR)
(423) 296-2604
Entity
Organization
Contact information
Practice address
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Mailing address
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
06/23/2014
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