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Orange Grove Center, Inc.
Primary Care Nurse Practitioner in Chattanooga, Tennessee
NPI 1073668653

Orange Grove Center, Inc. is a Primary Care Nurse Practitioner based in Chattanooga, TN and is specialized in Primary Care. Orange Grove Center, Inc. practices in Chattanooga, TN. The NPI Number for Orange Grove Center, Inc. is 1073668653 and holds a License No. 8686 (Tennessee).

The current practice location address for Orange Grove Center, Inc. is 615 Derby St, Chattanooga, TN and can be reached out via phone at 423-493-2905 and via fax at 423-493-2950.

Location: 615 Derby St, Chattanooga, TN, 37404-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073668653
Provider Name
Orange Grove Center, Inc.
Credential
Provider Entity Type
Organization
Address
615 Derby St, Chattanooga, TN, 37404-1632
Phone Number
423-493-2905
Fax Number
423-493-2950
Provider Enumeration Date
01/24/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH3763 01 TN RR MEDICARE
3070512 01 TN BCBS ID
3399927 05 TN
institution
Provider Business Practice Location Address Details
Address
615 Derby St
City
Chattanooga
State
Tennessee
Zip
37404-1632
Phone Number
423-493-2905
Fax Number
423-493-2950
person
Provider Business Mailing Address Details
Address
615 Derby St
City
Chattanooga
State
Tennessee
Zip
37404-1632
Phone Number
423-493-2905
Fax Number
423-493-2950
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13774 (Tennessee)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
26723 (Tennessee)
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
8686 (Tennessee)
Definition
Definition to come...
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