Individual
DR. LAURA E WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 493-2370
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 493-2370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD25602
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00670249B
—
GA
01
—
020039112
RR MEDICARE
—
05
—
150882
—
AL
01
—
1740004
UHC
—
01
—
3076751
BCBS OF TN
—
01
—
62165877455
JDH
—
01
—
8045925 001
CIGNA
—
05
—
Q002564
—
TN
Enumeration date
09/09/2005
Last updated
02/19/2019
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