Provider Demographics
NPI:1124074596
Name:ASSOCIATES IN PLASTIC AND RECONSTRUCTIVE SURGERY, PC
Entity type:Organization
Organization Name:ASSOCIATES IN PLASTIC AND RECONSTRUCTIVE SURGERY, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-624-0021
Mailing Address - Street 1:3404 NAVAJO DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5079
Mailing Address - Country:US
Mailing Address - Phone:423-624-0021
Mailing Address - Fax:423-624-5258
Practice Address - Street 1:3404 NAVAJO DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5079
Practice Address - Country:US
Practice Address - Phone:423-624-0021
Practice Address - Fax:423-624-5258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty