Individual
BETTY JEAN HUSBAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
421 CARRIAGE PARC DR, CHATTANOOGA, TN 37421-7147
(423) 718-1477
Mailing address
421 CARRIAGE PARC DR, CHATTANOOGA, TN 37421-7147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD30602
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3832158
—
TN
01
—
4083211
BCBS OF TN
TN
01
—
4083215
BCBS OF TENNESSEE
TN
01
—
P00224356
RAILROAD MEDICARE
TN
Enumeration date
05/25/2006
Last updated
07/08/2007
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