Mr. James Robert Headrick JR.
Cardiothoracic Vascular Surgeon
605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates
Chattanooga
, Tennessee 37404
Mr. James Robert Headrick JR.
Cardiothoracic Vascular Surgeon
605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates
Chattanooga
, Tennessee 37404
(423) 495-4934
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mr. James Robert Headrick JR.
- 1949 Gunbarrel Road Suite 230
- Chattanooga, TN
- Zip : 37421
- Fax : (423) 495-4934
- Phone : (423) 495-4349
Second Address
- Mr. James Robert Headrick JR.
- 605 Glenwood Drive, Suite 105 Chi Memorial Thoracic Oncology Associates
- Chattanooga, TN
- Zip : 37404
- Fax : (423) 495-2065
- Phone : (423) 495-5864
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Is Mr. James Robert Headrick JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 24097 | TN |
National Provider Identifier
| NPI | 1104812817 |
|---|---|
| Provider Name | Mr. James Robert Headrick JR. |
| First Address | Chattanooga, TN 37421 |
| Second Address | Chattanooga, TN 37404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 29/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3073584 | (05) | TN |
| F49599 | (02) |
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.