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NPI Provider: 1295730216
Contact Name: Randall R Marcum
Position: President PT CP LPO
Phone: (423) 485-8899
Amputee Clinic, Inc. Information:
Amputee Clinic, Inc. organization have npi 1295730216, taxonomy code is 261QP2000X with license number is 198-20 in . This Business address located in PO Box 23887, Chattanooga, TN 37422 Tennessee. Get directions of Amputee Clinic, Inc..
Practice Location
Address: 7331 Shallowford Rd, Chattanooga, TN 37421
Phone: (423) 485-8899
Business Location
Address: PO Box 23887, Chattanooga, TN 37422
Phone: (423) 485-8899
Fax: (423) 485-8813
Taxonomy
Taxonomy Code: 261QP2000X
License Number: 198-20
License Number of State: MO
Primary Taxonomy Switch: N
Enumeration Date: 6/16/2005
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