Individual
ANDREW PACE LARAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 GLENWOOD DR, SUITE E-888, CHATTANOOGA, TN 37404-1163
(423) 629-7688
(423) 495-6175
Mailing address
725 GLENWOOD DR, SUITE E-888, CHATTANOOGA, TN 37404-1163
(423) 629-7688
(423) 495-6175
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD0000049572
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000049572
TN
390200000X
Student in an Organized Health Care Education/Training Program
140940
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD0000049572
TENNESSEE MEDICAL LICENSURE
TN
Enumeration date
05/30/2007
Last updated
06/05/2013
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