Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD9848 | TN |
NPI | 1093764003 |
---|---|
Provider Name | Dr. William Zackary Catterton |
First Address | Signal Mountain, TN 37377-2052 |
Second Address | Chattanooga, TN 37403-2103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D29095 | (02) | TN |