Collegedale Physical Medicine, Pllc

NPI #1811649056 in Ooltewah, Tennessee

Provider Information

NPI Number
1811649056
Entity Type
Organization
Organization Name
Collegedale Physical Medicine, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
COLLEGEDALE CHIROPRACTIC PLLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Jan 19, 2022
Last Updated
Jan 19, 2022

Practice Location

Address
9457 DAVID SMITH LN STE 103
ZIP Code
37363-7201
Phone
(423) 238-4118

Authorized Official

Name
CHERI MCCORMICK, CTA
Title
OFFICE MANAGER
Phone
(423) 238-4118

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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