John Brendle Standridge II
Family Doctor Family Doctor - Addiction Medicine
207 Spears Ave
Chattanooga
, Tennessee 37405
John Brendle Standridge II
Family Doctor Family Doctor - Addiction Medicine
207 Spears Ave
Chattanooga
, Tennessee 37405
(423) 531-4267
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- John Brendle Standridge II
- 6838 Buck Trail Dr
- Harrison, TN
- Zip : 37341-4912
- Fax : (423) 531-4267
- Phone : (423) 531-4265
Second Address
- John Brendle Standridge II
- 207 Spears Ave
- Chattanooga, TN
- Zip : 37405
- Fax : (423) 531-4267
- Phone : (423) 531-4265
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 9010 | TN |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 9010 | TN |
National Provider Identifier
| NPI | 1568494284 |
|---|---|
| Provider Name | John Brendle Standridge II |
| First Address | Harrison, TN 37341-4912 |
| Second Address | Chattanooga, TN 37405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 23/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3157266 | (05) | TN |
| B59262 | (02) | |
| B59262 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.