Individual
DR. DAVID C BOSSHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 495-2525
(423) 495-2625
Mailing address
1949 GUNBARREL ROAD, SUITE 230, CHATTANOOGA, TN 37421
(423) 495-4345
(423) 495-2625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021372
TN
207R00000X
Internal Medicine Physician
Primary
026225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00285612A
—
GA
01
—
35544
BCBS OF TENNESSEE
TN
01
—
52270883
BCBS OF GEORGIA
GA
Enumeration date
08/25/2005
Last updated
04/12/2018
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