Individual
DR. LOYD WILLIAM WITHERSPOON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1510 GUNBARREL RD, SUITE 300, CHATTANOOGA, TN 37421-7174
(423) 499-6488
(423) 855-4100
Mailing address
5000 W ESPLANADE AVE, PMB 235, METAIRIE, LA 70006-2551
(504) 779-8120
(504) 779-9741
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM380
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000776058A
—
GA
05
—
3353790
—
TN
01
—
4047259
BLUE CROSS
TN
01
—
412064222001
TRICARE
TN
01
—
480035339
RAILROAD MEDICARE
TN
01
—
DA2202
RAILROAD MEDICARE GROUP
TN
01
—
TN0101
UHC OF RIVER VALLEY
TN
Enumeration date
12/20/2006
Last updated
07/25/2012
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