Tennessee Institute for Maxillofacial Surgery, LLC
NPI #1326112582 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1326112582
- Entity Type
- Organization
- Organization Name
- Tennessee Institute for Maxillofacial Surgery, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 625 MORRISON SPRINGS RD
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37415-3401
- Phone
- (423) 855-5550
Authorized Official
- Name
- DR. THOMAS R. COOK III
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (423) 855-5550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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