NPI 1417177528
State of Tennessee
Practice location
- Address
- 540 McCallie Ave Suite 450, Chattanooga, TN 37402-2089
- Phone
- (423) 634-3124
Authorised official
- Name
- Judy K Shaw
- Title
- Accountant 3
- Phone
- (423) 634-5832
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1417177528
- Entity type
- Organization
- NPI issued
- 30 Apr 2007
- Record last updated
- 22 Aug 2020
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.