| Scenic City Wellness | |
|
105 Lee Parkway Dr Ste A Chattanooga TN 37421-6708 | |
| (423) 643-8000 | |
| (423) 643-8100 |
| Full Name | Scenic City Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Lee Parkway Dr Ste A, Chattanooga, Tennessee |
| Authorized Official Name and Position | Michalle Morris (NURSE PRACTITIONER) |
| Authorized Official Contact | 4232554506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic City Wellness Po Box 25164 Chattanooga TN 37422-5164 Ph: (423) 643-8000 | Scenic City Wellness 105 Lee Parkway Dr Ste A Chattanooga TN 37421-6708 Ph: (423) 643-8000 |
| NPI Number | 1700443470 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 2567894850 |
|---|---|
| Medicare Enrollment ID | O20191106002939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700443470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle B Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013268341 PECOS PAC ID: 8123273604 Enrollment ID: I20130307000223 |
| Provider Name | Rashunika Keyarra Patillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881219376 PECOS PAC ID: 1850719592 Enrollment ID: I20200914000507 |
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