Individual
RAYMOND F. RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6978 E BRAINERD RD, CHATTANOOGA, TN 37421-3834
(423) 899-0808
(423) 499-5149
Mailing address
6978 E BRAINERD RD, CHATTANOOGA, TN 37421-3834
(423) 899-0808
(423) 499-5149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077312
BLUE CROSS BLUE SHIELD
TN
01
—
62-1345617
FEDERAL EMPLOYER ID NO.
—
Enumeration date
04/23/2007
Last updated
12/06/2011
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