SOUTHERN LIFE HEALTHCARE PLLC

CHATTANOOGA, TN
NPI1538887401
Entity TypeOrganization
Authorized ContactETHAN KELLUM
Medical Director
901-484-0837
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2022-08-17
Last Update Date2024-06-13
Business Address
SOUTHERN LIFE HEALTHCARE PLLC
6102 SHALLOWFORD RD STE 104
CHATTANOOGA, TN 37421-1684
Phone number: 423-443-6400
Mailing Address
SOUTHERN LIFE HEALTHCARE PLLC
6102 SHALLOWFORD RD STE 104
CHATTANOOGA, TN 37421-1684
Phone number: 423-443-6400
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