Individual
KIRK WARREN BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2341 MCCALLIE AVE PLAZA 3, SUITE 403, CHATTANOOGA, TN 37404-3239
(423) 602-9764
(423) 602-9690
Mailing address
2341 MCCALLIE AVE STE 403, CHATTANOOGA, TN 37404-3227
(423) 602-9674
(423) 602-9690
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29154
TN MEDICAL LICENSE #
TN
Enumeration date
02/21/2006
Last updated
01/30/2019
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