Provider Demographics
NPI:1164018727
Name:ONE TO ONE HEALTH, PLLC
Entity Type:Organization
Organization Name:ONE TO ONE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:615-473-8984
Mailing Address - Street 1:1067 RIVERFRONT PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2222
Mailing Address - Country:US
Mailing Address - Phone:423-822-5709
Mailing Address - Fax:
Practice Address - Street 1:171 BAYLOR SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-2506
Practice Address - Country:US
Practice Address - Phone:423-757-2871
Practice Address - Fax:423-757-2874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care