J Walter Sledge MD PLLC
Internal Medicine, Cardiovascular Disease in Chattanooga, TN. Organization (NPI-2).
NPI number1720179567
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1720179567
- Entity type
- Organization (NPI-2)
- Legal business name
- J Walter Sledge MD PLLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Jul 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 24377 | TN | Yes |
Practice location
2339 McCallie AvenuePlaza II Suite 204
Chattanooga, TN 37404
Phone 423-629-6995 · Fax 423-629-6641
Mailing address
Po Box 11426Chattanooga, TN 37401
Phone 423-877-2312 · Fax 423-877-5855
Authorized official
Durie Andrews
Billing Office Owner
4238772312
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