Individual
DR. JOHN DANIEL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 778-8168
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 778-8168
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD25268
TN
208C00000X
Colon & Rectal Surgery Physician
Primary
25268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00814008A
—
GA
05
—
009905580
—
AL
01
—
1440000
UHC
—
01
—
240006287
RR MEDICARE
TN
01
—
3121091
BCBS OF TN
—
01
—
4882235 002
CIGNA
—
01
—
62165877450
JDH
—
05
—
Q002558
—
TN
Enumeration date
09/07/2005
Last updated
08/08/2024
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