Tri State Clinic North | |
520 Cherokee Blvd, Chattanooga, TN 37405 | |
(423) 265-1366 | |
(423) 265-1390 |
Full Name | Tri State Clinic North |
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Type | Facility |
Speciality | Chiropractor |
Location | 520 Cherokee Blvd, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700093432 | NPI | - | NPPES |
4099296 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1508 (Tennessee) | Primary |
Provider Name | Amanda B Austin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629261284 PECOS PAC ID: 8628025731 Enrollment ID: I20050412001315 |
Mailing Address | Practice Location Address |
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Tri State Clinic North 520 Cherokee Blvd, Chattanooga, TN 37405 Ph: (423) 265-1366 | Tri State Clinic North 520 Cherokee Blvd, Chattanooga, TN 37405 Ph: (423) 265-1366 |
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