Individual
WALTER L. FEW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1614 GUNBARREL ROAD, SUITE 101, CHATTANOOGA, TN 37421
(423) 778-8604
(423) 826-8609
Mailing address
975 EAST THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-3110
(423) 778-3146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
40120
TN
207RI0011X
Interventional Cardiology Physician
Primary
40120
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3331882
—
TN
Enumeration date
02/14/2006
Last updated
05/11/2015
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