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Individual

DR. JOHN J SILLERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Mailing address
725 GLENWOOD DRIVE,, SUITE E-487, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0065121
MD
207P00000X
Emergency Medicine Physician
Primary
DO2047
TN
207P00000X
Emergency Medicine Physician
OS014183
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514496
TN
Enumeration date
05/22/2007
Last updated
11/18/2011
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