Individual
PHILLIP CHARLES GAWTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6978 E BRAINERD RD, CHATTANOOGA, TN 37421-3834
(423) 899-0808
(423) 499-5149
Mailing address
6978 E BRAINERD RD, CHATTANOOGA, TN 37421-3834
(423) 899-0808
(423) 499-5149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075288
BLUE CROSS BLUE SHIELD
TN
01
—
41554347
BLUECROSS BLUESHIELD
TN
Enumeration date
07/21/2006
Last updated
08/23/2008
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