Individual
RICHARD W BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6145 SHALLOWFORD RD, STE 102, CHATTANOOGA, TN 37421
(423) 893-6890
(423) 648-1115
Mailing address
6145 SHALLOWFORD RD, STE 102, CHATTANOOGA, TN 37421
(423) 893-6890
(423) 648-1115
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
16562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731246
—
TN
01
—
4110715
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/01/2006
Last updated
01/16/2013
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