The Pelvic Pain And Reconstructive Surgery Center
Specialist in Chattanooga, TN. Organization (NPI-2).
NPI number1710050737
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1710050737
- Entity type
- Organization (NPI-2)
- Legal business name
- The Pelvic Pain And Reconstructive Surgery Center
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jan 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 024075 | TN | Yes |
Practice location
1755 Gunbarrel RdSuite 202
Chattanooga, TN 37421-7137
Phone 423-490-1136
Mailing address
1755 Gunbarrel RdSuite 202
Chattanooga, TN 37421-7137
Phone 423-490-1136
Authorized official
Alfredo Nieves
Medical Director
4234901136
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