Organization · Type 2 NPI

Orange Grove Center, Inc.

Adult Medicine Physician · Chattanooga, TN

NPI number 1073668653 Active

Practice location

615 Derby St
Chattanooga, TN 37404-1632

Call (423) 493-2905 Map

Fax (423) 493-2950

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X8686 (TN)
Adult Medicine Physician Primary 207QA0505X26723 (TN)
Primary Care Nurse Practitioner 363LP2300X13774 (TN)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

21 other providers at this address

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About NPI 1073668653

Orange Grove Center, Inc.'s National Provider Identifier is 1073668653, issued on Jan 24, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Chattanooga, TN. The record was last updated on Mar 4, 2024.