Individual
DR. JOHN WILLIS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 493-1493
(423) 698-6061
Mailing address
580 PINE HILL RD, MC DONALD, TN 37353-5463
(423) 902-7737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30691
TN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
30691
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000818364K
—
GA
05
—
3836151
—
TN
Enumeration date
06/10/2006
Last updated
03/24/2022
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