Southern Life Healthcare PLLC
Southern Life Healthcare PLLC provides General Practice Physician services in Chattanooga, Tennessee. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6102 Shallowford Rd Ste 104Chattanooga, TN 37421-1684
Phone: (423) 443-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1538887401 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ethan Kellum — Medical Director · (901) 484-0837 |
| NPI enumerated | August 17, 2022 |
| Last updated in NPPES | June 13, 2024 |
| Certification date | June 13, 2024 |
| Mailing address | 6102 Shallowford Rd Ste 104, Chattanooga, TN 37421-1684 |
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