Individual
DR. COLIN RILEY CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD44724
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517663
—
TN
01
—
4247903
BCBS
TN
Enumeration date
11/20/2007
Last updated
05/10/2010
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