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6400 Lee Highway Suite 106 Chattanooga TN 37421 | |
| (423) 855-0402 | |
| (423) 648-9369 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 6400 Lee Highway, Chattanooga, Tennessee |
| Authorized Official Name and Position | David Apps (ADMINISTRATOR RIDGEDALE BAPTIST CHU) |
| Authorized Official Contact | 4238550402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6400 Lee Highway Suite 106 Chattanooga TN 37421 Ph: (423) 855-0402 | 6400 Lee Highway Suite 106 Chattanooga TN 37421 Ph: (423) 855-0402 |
| NPI Number | 1225227887 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225227887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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