| Utc Sports Medicine | |
|
615 Mccallie Ave Chattanooga TN 37403-2504 | |
| (423) 425-5637 | |
| (972) 367-3451 |
| Full Name | Utc Sports Medicine |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 615 Mccallie Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utc Sports Medicine Po Box 650850 Dallas TX 75265-0850 Ph: (800) 555-9073 | Utc Sports Medicine 615 Mccallie Ave Chattanooga TN 37403-2504 Ph: (423) 425-5637 |
| NPI Number | 1376910653 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376910653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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