Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 10857 | TN |
Y | 213EG0000X | General Practice | 10857 | TN |
NPI | 1003395906 |
---|---|
Provider Name | Dr. David Michael Sapala |
First Address | Chattanooga, TN 37416-1674 |
Second Address | Hixson, TN 37343-5034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2018 |
Last Update Date | 10/08/2018 |