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Collegedale Physical Medicine, Pllc
Pain Clinic/Center in Ooltewah, Tennessee
NPI 1811649056

Collegedale Physical Medicine, Pllc is a Pain Clinic/Center based in Ooltewah, TN and is specialized in Pain. Collegedale Physical Medicine, Pllc practices in Ooltewah, TN. The NPI Number for Collegedale Physical Medicine, Pllc is 1811649056 and holds a License No. (Tennessee).

The current practice location address for Collegedale Physical Medicine, Pllc is 9457 David Smith Ln Ste 103, Ooltewah, TN and can be reached out via phone at 423-238-4118 and via fax at 423-238-6565.

Location: 9457 David Smith Ln Ste 103, Ooltewah, TN, 37363-7201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811649056
Provider Name
Collegedale Physical Medicine, Pllc
Credential
Provider Entity Type
Organization
Address
9457 David Smith Ln Ste 103, Ooltewah, TN, 37363-7201
Phone Number
423-238-4118
Fax Number
423-238-6565
Provider Enumeration Date
01/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9457 David Smith Ln Ste 103
City
Ooltewah
State
Tennessee
Zip
37363-7201
Phone Number
423-238-4118
Fax Number
423-238-6565
person
Provider Business Mailing Address Details
Address
9457 David Smith Ln Ste 103
City
Ooltewah
State
Tennessee
Zip
37363-7201
Phone Number
423-238-4118
Fax Number
423-238-6565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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