Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | DO0000001142 | TN |
N | 2081P2900X | Pain Medicine | 41907 | GA |
Y | 2081P2900X | Pain Medicine | DO1142 | TN |
NPI | 1174552822 |
---|---|
Provider Name | Steven G Musick |
First Address | Chattanooga, TN 37403-1306 |
Second Address | Chattanooga, TN 37403-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 10/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01035683 | AMERIGROUP (01) | GA |
363071 | WELLCARE (01) | GA |
4105861 | BCBSTN (01) | TN |
7209607 | CIGNA (01) | |
G32304 | (02) |