Individual
JOHN BRENDLE STANDRIDGE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 SPEARS AVE, CHATTANOOGA, TN 37405
(423) 531-4265
(423) 531-4267
Mailing address
6838 BUCK TRAIL DR, HARRISON, TN 37341-4912
(423) 531-4265
(423) 531-4267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9010
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
9010
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157266
—
TN
Enumeration date
07/06/2006
Last updated
06/23/2018
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