NPI 1043667686
Carestar Medical Associates
Practice location
- Address
- 6106 Shallowford Rd Suite 108, Chattanooga, TN 37421-2239
- Phone
- (423) 760-8700
- Fax
- (423) 760-8703
Authorised official
- Name
- Phillip Bannor
- Title
- Owner
- Phone
- (423) 760-8700
Registered specialties (2)
Pain Medicine Physician
Primary
Internal Medicine Physician
Registry record
- NPI
- 1043667686
- Entity type
- Organization
- NPI issued
- 24 May 2016
- Record last updated
- 1 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.