Individual
TAYLOR PEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(225) 614-0542
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(225) 614-0542
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
69988
TN
Other
Enumeration date
03/17/2017
Last updated
10/10/2024
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