| Chattanooga Family And Sports Medical Center, Pllc | |
|
6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | |
| (423) 499-0003 | |
| Not Available |
| Full Name | Chattanooga Family And Sports Medical Center, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Nutrition |
| Location | 6035 Shallowford Rd, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265687917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN1001X | Chiropractor - Nutrition | 1789 (Tennessee) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 1241 (Tennessee) | Secondary |
| Provider Name | Jeff G Hall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932140043 PECOS PAC ID: 7911989777 Enrollment ID: I20040608000887 |
| Provider Name | Randy R Heisser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689620999 PECOS PAC ID: 4284672965 Enrollment ID: I20050422000305 |
| Provider Name | Stacy K Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275969081 PECOS PAC ID: 0042436966 Enrollment ID: I20140729001371 |
| Provider Name | Connie J Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932502218 PECOS PAC ID: 4688999105 Enrollment ID: I20150204001250 |
| Provider Name | Ethan Kellum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396907705 PECOS PAC ID: 5092958199 Enrollment ID: I20161205000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Chattanooga Family And Sports Medical Center, Pllc 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 Ph: (423) 499-0003 | Chattanooga Family And Sports Medical Center, Pllc 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 Ph: (423) 499-0003 |
Dr. Raymond Andrew Maucere, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3600 Hixson Pike, Suite 114, Chattanooga, TN 37415 Phone: 423-875-6555 Fax: 423-875-6567 | |
100 Percent Chiropractic Christoffer Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1309 Panorama Dr Ste 115, Chattanooga, TN 37421 Phone: 423-541-3771 | |
Chattanooga Sports Chiropractic Institute, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1200 Mountain Creek Rd Ste 430, Chattanooga, TN 37405 Phone: 423-815-1433 | |
Dr. Danny Ray Twilley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 58, Suite 14, Chattanooga, TN 37416 Phone: 423-899-6941 Fax: 423-499-8753 | |
Southeast Center For Bone And Joint Chiropractor Medicare: Medicare Enrolled Practice Location: 1334 Mackey Branch Drive, Suite 103, Chattanooga, TN 37421 Phone: 423-296-2604 Fax: 423-296-2607 | |
True Wellness Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6102 Shallowford Rd, Suite 103, Chattanooga, TN 37421 Phone: 423-475-6438 Fax: 423-475-6407 | |
Dr. Terrance M Eyerly Jr., DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1829 Gunbarrel Rd Ste 107, Chattanooga, TN 37421 Phone: 423-541-1835 |