Individual
MR. JAMES ROBERT HEADRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 GLENWOOD DRIVE, SUITE 105, CHI MEMORIAL THORACIC ONCOLOGY ASSOCIATES, CHATTANOOGA, TN 37404
(423) 495-5864
(423) 495-2065
Mailing address
1949 GUNBARREL ROAD, SUITE 230, CHATTANOOGA, TN 37421
(423) 495-4349
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
24097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073584
—
TN
Enumeration date
09/27/2005
Last updated
07/21/2022
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