Unknown Individual – Psychiatry Physician, NPI 1720004773
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Moccasin Bend Mental Health Institute, 100, Moccasin Bend Road, Chattanooga, Hamilton County, Tennessee, 37405, United States
CHATTANOOGA, TN 374054415
Phone: (423) 265-2271
Fax: (423) 785-3454
Type: Location
1234, Mountain Brook Circle, Applewood, Signal Mountain, Hamilton County, East Tennessee, Tennessee, 37377, United States
SIGNAL MOUNTAIN, TN 373772134
Phone: (423) 265-2271
Fax: (423) 785-3454
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37405)
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