Provider Demographics
NPI:1679715775
Name:WOMENS HEALTH SERVICES CHATTANOOGA PC
Entity type:Organization
Organization Name:WOMENS HEALTH SERVICES CHATTANOOGA PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-648-6020
Mailing Address - Street 1:PO BOX 21709
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37424-0709
Mailing Address - Country:US
Mailing Address - Phone:423-648-6020
Mailing Address - Fax:423-648-6025
Practice Address - Street 1:7490 ZIEGLER RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3156
Practice Address - Country:US
Practice Address - Phone:423-648-6020
Practice Address - Fax:423-648-6025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOMENS HEALTH SERVICES CHATTANOOGA PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty