Organization
PERSONAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRENDLE STANDRIDGE MD (OWNER)
(423) 531-4265
Entity
Organization
Contact information
Practice address
207 SPEARS AVE, CHATTANOOGA, TN 37405
(423) 531-4265
(423) 531-4267
Mailing address
6838 BUCK TRAIL DR, HARRISON, TN 37341-4912
(423) 531-4265
(423) 531-4267
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523731
—
TN
Enumeration date
04/28/2011
Last updated
06/23/2018
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