Individual
RALPH W STAFFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 N LYERLY ST, STE 100, CHATTANOOGA, TN 37404-2739
(423) 826-8000
(423) 702-7915
Mailing address
2300 E 3RD ST STE B, CHATTANOOGA, TN 37404-2700
(423) 702-7900
(423) 702-7905
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
058510
GA
207RN0300X
Nephrology Physician
Primary
36772
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3878187
—
TN
Enumeration date
08/24/2005
Last updated
05/28/2010
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