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Beacon Health Alliance PC

Organization Active NPI Obstetrics & Gynecology Physician · Chattanooga, TN

NPI 1154593630 · NPPES record last updated Jun 2, 2009

Key facts

NPI
1154593630
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
BEACON HEALTH ALLIANCE PC
Practice address
1751 Gunbarrel Rd
Suite 100
Chattanooga, TN 37421-7177
Phone
(423) 778-9500
Fax
(423) 778-8882
NPI assigned
Mar 25, 2008
Organization subpart
No

Authorized official

Name
Sheila Manley
Title
Director of Operations
Phone
(423) 495-4806

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beacon Health Alliance PC (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

1751 Gunbarrel Rd
Suite 100
Chattanooga, TN 37421-7177

Mailing address

PO Box 6159
Chattanooga, TN 37401-6159
Phone (423) 495-4939

Other names

  • Beacon Health OBGYN Associates WEP Other name

Other providers in Chattanooga, TN

All providers in Chattanooga, TN · Obstetrics & Gynecology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.