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J WALTER SLEDGE MD PLLC NPI 1720179567


NPI Information

NPI: 1720179567
Provider Name: J WALTER SLEDGE MD PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2339 MCCALLIE AVENUE
PLAZA II SUITE 204
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 629-6995
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J WALTER SLEDGE MD PLLC is a cardiovascular disease internal medicine in Chattanooga, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. J WALTER SLEDGE MD PLLC NPI is 1720179567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2339 MCCALLIE AVENUE
PLAZA II SUITE 204
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 629-6995
Fax: (423) 629-6641

The provider's authorized official is Durie Andrews .
The authorized official title is Billing Office Owner and has the following contact phone number (423) 877-2312.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease24377TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13075267MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEGROUP NUMBER
2C86687MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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