Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 18 | TN |
NPI | 1073534699 |
---|---|
Provider Name | Dr. James L. Philpott |
First Address | Chattanooga, TN 37402-1407 |
Second Address | Chattanooga, TN 37402-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 08/07/2007 |