institution
The Pelvic Pain And Reconstructive Surgery Center
Specialist in Chattanooga, Tennessee
NPI 1710050737

The Pelvic Pain And Reconstructive Surgery Center is a Specialist based in Chattanooga, TN. The Pelvic Pain And Reconstructive Surgery Center practices in Chattanooga, TN. The NPI Number for The Pelvic Pain And Reconstructive Surgery Center is 1710050737 and holds a License No. 024075 (Tennessee).

The current practice location address for The Pelvic Pain And Reconstructive Surgery Center is 1755 Gunbarrel Rd, Chattanooga, TN and can be reached out via phone at 423-490-1136.

Location: 1755 Gunbarrel Rd, Chattanooga, TN, 37421-7137
institution
Provider Profile Details
NPI Number
1710050737
Provider Name
The Pelvic Pain And Reconstructive Surgery Center
Credential
Provider Entity Type
Organization
Address
1755 Gunbarrel Rd, Chattanooga, TN, 37421-7137
Phone Number
423-490-1136
Fax Number
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4133945 01 TN BCBS
3735545 01 TN MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
1755 Gunbarrel Rd
City
State
Zip
37421-7137
Phone Number
423-490-1136
Fax Number
person
Provider Business Mailing Address Details
Address
1755 Gunbarrel Rd
City
State
Zip
37421-7137
Phone Number
423-490-1136
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
024075 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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