| The Chattanooga Spine And Wellness Institute, Inc | |
|
1745 Phoenix Blvd Ste 335 Atlanta GA 30349-5569 | |
| (423) 296-2604 | |
| Not Available |
| Full Name | The Chattanooga Spine And Wellness Institute, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1745 Phoenix Blvd Ste 335, Atlanta, Georgia |
| Authorized Official Name and Position | Elise Sheffield Sims (OWNER) |
| Authorized Official Contact | 4232962604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chattanooga Spine And Wellness Institute, Inc 1745 Phoenix Blvd Ste 335 Atlanta GA 30349-5569 Ph: (423) 296-2604 | The Chattanooga Spine And Wellness Institute, Inc 1745 Phoenix Blvd Ste 335 Atlanta GA 30349-5569 Ph: (423) 296-2604 |
| NPI Number | 1649860354 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649860354 | NPI | - | NPPES |
| 3957 | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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