Individual
DR. GREGORY L. PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 OAKWOOD DR, CHATTANOOGA, TN 37416-2367
(423) 892-4289
(423) 553-1818
Mailing address
4411 OAKWOOD DR, CHATTANOOGA, TN 37416-2367
(423) 892-4289
(423) 553-1818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD027356
TN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD027356
TN
2083X0100X
Occupational Medicine Physician
MD027356
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000579268A
—
GA
05
—
0447283
—
TN
05
—
1501013
—
TN
05
—
3808658
—
TN
01
—
441504
GROUP CCN
—
Enumeration date
03/24/2006
Last updated
06/07/2016
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