Doctor Name: | ROBERT C CODDINGTON |
NPI Number: | 1174678288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TNMD05628 |
Business Practice Address: | 725 Glenwood Dr E-580 Chattanooga, TN - 374041163 |
Business Phone Number: | 4236246584 |
Business Fax Number: | 4236246588 |
Mailing Address: | 725 Glenwood Dr, E-580 CHATTANOOGA |
State: | TN |
Postal Code: | 374041163 |
Phone Number: | 4236246584 |
Fax Number: | 4236246588 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | TNMD05628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |