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WADE IN THE WATER MEDICINE LLC
NPI 1629416730
Specialist in Chattanooga, TN

Active since June 11, 2013
5600 BRAINERD RD, FC5, CHATTANOOGA, TN 37411(423) 355-5471(423) 355-5472 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wade In The Water Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE IN THE WATER MEDICINE LLC (NPI 1629416730) is a healthcare organization registered as a specialist in Chattanooga, Tennessee and active in the NPI registry since June 2013. The organization lists Carroll G Odem, President, as its authorized official.

NPPES Registry Identity

NPI1629416730
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWADE IN THE WATER MEDICINE LLC
Location Address5600 BRAINERD RD, FC5Chattanooga, TN 37411-5310
Mailing Address5600 Brainerd Rd, Fc5Chattanooga, TN 37411-5310 · (423) 355-5471 · Fax (423) 355-5472
Phone(423) 355-5471
Fax(423) 355-5472
Organization SubpartNo
Authorized OfficialCarroll G OdemPresident · (423) 400-9910
Enumeration DateJune 11, 2013
Last NPPES UpdateApril 30, 2014
✔ NPI 1629416730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD24920
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5600 BRAINERD RD, Chattanooga, TN 37411
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRISCILLA LYNNE FINNELL
Counselor (Addiction (Substance Use Disorder))
5600 BRAINERD RD, SUITE B42
CHATTANOOGA, TN 37411
Hamilton County (423) 296-6451
CARLEISHA CHEKEZIA JONES
Licensed Practical Nurse
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Hamilton County (423) 266-4588
KYLIE JETT-BROWN AA
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Hamilton County (423) 266-4588
CHATTANOOGA PRIMARY CARE OF HYPERTENSION & DIABETES
Internal Medicine
5600 BRAINERD RD, STE FC-5
CHATTANOOGA, TN 37411
Hamilton County (423) 355-5471
RONNIESHA BROWN CCMA
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Hamilton County (423) 266-4588
LATONYA RNEA SAWYER
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Hamilton County (423) 266-4588
S & L HEALTHCARE SERVICES
Nurse Practitioner (Adult Health)
5600 BRAINERD RD, STE FC5
CHATTANOOGA, TN 37411
Hamilton County (423) 355-5471
CHRISTELL FAITH IRENE HUNT
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Hamilton County (423) 266-4588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade In The Water Medicine LLC's NPI number?

The NPI number for Wade In The Water Medicine LLC is 1629416730. It was assigned to this organization in the NPPES registry on June 11, 2013.

Where is Wade In The Water Medicine LLC located?

Wade In The Water Medicine LLC is located at 5600 Brainerd Rd Fc5, Chattanooga, TN 37411. The listed phone number is (423) 355-5471.

What is Wade In The Water Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Wade In The Water Medicine LLC was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.