Individual
JOEL STANLEY BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-3000
(931) 393-7806
Mailing address
4300 N ACCESS RD, SUITE D, CHATTANOOGA, TN 37415-3812
(423) 826-1276
(423) 826-1290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000012816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002466
—
TN
Enumeration date
09/21/2005
Last updated
07/08/2007
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