| Four Bridges Dermatology And Cosmetics Pllc | |
|
1247 Riverfront Pkwy Chattanooga TN 37402-2108 | |
| (423) 521-4232 | |
| (423) 521-4235 |
| Full Name | Four Bridges Dermatology And Cosmetics Pllc |
|---|---|
| Speciality | Dermatology |
| Location | 1247 Riverfront Pkwy, Chattanooga, Tennessee |
| Authorized Official Name and Position | Laura Cleary (PARTNER) |
| Authorized Official Contact | 4235214232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Bridges Dermatology And Cosmetics Pllc 1247 Riverfront Pkwy Chattanooga TN 37402-2108 Ph: () - | Four Bridges Dermatology And Cosmetics Pllc 1247 Riverfront Pkwy Chattanooga TN 37402-2108 Ph: (423) 521-4232 |
| NPI Number | 1043971575 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 0345636189 |
|---|---|
| Medicare Enrollment ID | O20220405000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043971575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Cara F Hennings |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639346448 PECOS PAC ID: 0244479947 Enrollment ID: I20130610000196 |
| Provider Name | Deanna G Brown |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528382009 PECOS PAC ID: 1951544048 Enrollment ID: I20141104000680 |
| Provider Name | Laura Crawford Cleary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669891883 PECOS PAC ID: 5092004366 Enrollment ID: I20180726002014 |
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