| |
7530 Goodwin Rd Chattanooga TN 37421-3182 | |
(423) 402-4602 | |
(423) 402-4604 |
Full Name | |
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Speciality | Clinic/Center |
Location | 7530 Goodwin Rd, Chattanooga, Tennessee |
Authorized Official Name and Position | Christi R Osborne (VICE PRESIDENT) |
Authorized Official Contact | 4233314670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7530 Goodwin Rd Chattanooga TN 37421-3182 Ph: (423) 402-4602 | 7530 Goodwin Rd Chattanooga TN 37421-3182 Ph: (423) 402-4602 |
NPI Number | 1194160556 |
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Provider Enumeration Date | 04/30/2013 |
Last Update Date | 04/30/2013 |
Medicare PECOS PAC ID | 9739322678 |
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Medicare Enrollment ID | O20130826000437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194160556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2656 (Tennessee) | Primary |
Provider Name | Christi R Osborne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508106329 PECOS PAC ID: 8426291360 Enrollment ID: I20130826000498 |
Provider Name | Todd Osborne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356785422 PECOS PAC ID: 3375533565 Enrollment ID: I20130826000540 |
Provider Name | Caroline A Seymour |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538295290 PECOS PAC ID: 7315385002 Enrollment ID: I20240401000645 |
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