Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 018623 | GA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD0000006980 | TN |
NPI | 1013916865 |
---|---|
Provider Name | Morrow Chamberlain II |
First Address | Chattanooga, TN 37404-1163 |
Second Address | Chattanooga, TN 37404-1163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00144163A | (05) | GA |
2002190 | BC/BS TN (01) | TN |
442234 | CIGNA (01) | TN |
B59380 | (02) | TN |