Chattanooga Foot Specialists, Pllc | |
2707 Citico Ave, Chattanooga, TN 37406-3402 | |
(843) 628-0023 | |
(423) 698-8269 |
Full Name | Chattanooga Foot Specialists, Pllc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2707 Citico Ave, 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 |
---|---|---|---|
1487747457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 590 (Tennessee) | Primary |
Provider Name | Lisa F Wamack |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609891530 PECOS PAC ID: 4183607161 Enrollment ID: I20040610001747 |
Mailing Address | Practice Location Address |
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Chattanooga Foot Specialists, Pllc 2707 Citico Ave, Chattanooga, TN 37406-3402 Ph: (423) 698-4899 | Chattanooga Foot Specialists, Pllc 2707 Citico Ave, Chattanooga, TN 37406-3402 Ph: (843) 628-0023 |
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