Provider Demographics
NPI:1326482167
Name:UT COLLEGE OF MEDICINE CHATTANOOGA
Entity Type:Organization
Organization Name:UT COLLEGE OF MEDICINE CHATTANOOGA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENCY COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-778-7442
Mailing Address - Street 1:2830 HAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-5939
Mailing Address - Country:US
Mailing Address - Phone:423-667-8052
Mailing Address - Fax:
Practice Address - Street 1:2830 HAYWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-5939
Practice Address - Country:US
Practice Address - Phone:423-667-8052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF TENNESSEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital