Individual
DR. LARRY L SHEARS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST, SUITE C520, CHATTANOOGA, TN 37403-2136
(423) 778-5661
(423) 778-5664
Mailing address
975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-5661
(423) 778-5664
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55005
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
55005
TN
Other
Enumeration date
06/27/2006
Last updated
09/29/2016
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