BEYOUTIFUL SKIN AND LASER CENTER
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1952724213- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4066 HIXSON PIKE, CHATTANOOGA, TN, 374153110
- Phone
- (423) 877-3568
- Fax
- (423) 877-9332
Specialties & Taxonomies
Physician Assistant, Medical
License: TN #PA0000000981
Nurse Practitioner, Family
Primary License: TN #8749977