Bryn Medical PLLC
Clinic/Center, Multi-Specialty in Chattanooga, TN. Organization (NPI-2).
NPI number1124635594
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1124635594
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryn Medical PLLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2020
- Certification date
- May 21, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
6221 Shallowford Rd Ste 100Chattanooga, TN 37421-1972
Phone 423-954-7003
Mailing address
4295 Cromwell Rd Ste 301Chattanooga, TN 37421-2163
Authorized official
Abby Robertson
Manager
4239547003
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