Provider Demographics
NPI:1982624441
Name:UNIVERSITY HOSPITALISTS OF CHATTANOOGA PLLC
Entity Type:Organization
Organization Name:UNIVERSITY HOSPITALISTS OF CHATTANOOGA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:LONGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-266-1490
Mailing Address - Street 1:430 CHESTNUT ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402
Mailing Address - Country:US
Mailing Address - Phone:423-266-1490
Mailing Address - Fax:713-554-5320
Practice Address - Street 1:975 E 3RD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2103
Practice Address - Country:US
Practice Address - Phone:423-266-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty