Individual
COLE ETHAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 206-4140
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
34785
TN
Other
Enumeration date
02/24/2022
Last updated
09/24/2023
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