Individual
DR. THOMAS A IRELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6472
(423) 778-4232
Mailing address
975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-6472
(423) 778-4232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54093
TN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
54093
TN
2084N0600X
Clinical Neurophysiology Physician
54093
TN
Other
Enumeration date
07/18/2008
Last updated
06/14/2016
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