NPI 1073668653

Orange Grove Center, INC.

Organisation Adult Medicine Physician Chattanooga, TN

Practice location

Address: 615 Derby St, Chattanooga, TN 37404-1632
Phone: (423) 493-2905
Fax: (423) 493-2950
Mailing address: 615 Derby St Attention: Health Informatics & Reimbursement, Chattanooga, TN 37404-1632

Authorised official

Name: Tera Roberts
Title: Ceo
Phone: (423) 493-2910

Registered specialties (3)

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 26723 (TN)

Other Family Medicine providers in Tennessee →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 8686 (TN)

Other Dentist providers in Tennessee →

Primary Care Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X Licence 13774 (TN)

Other Nurse Practitioner providers in Tennessee →

Registry record

NPI: 1073668653
Entity type: Organization
NPI issued: 24 Jan 2007
Record last updated: 4 Mar 2024

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.