Marshall, John Willis

Marshall, John Willis is an individual health care provider with primary practice located at 2333 Mccallie Ave , Chattanooga TN 37404-3258. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Marshall, John Willis can be contacted via phone (423) 493-1493.

Contact Information

Primary practice address
2333 Mccallie Ave Chattanooga TN 37404-3258
Phone: (423) 493-1493
Fax: (423) 698-6061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 30691 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30691 Tennessee

Profile Details

NPI number 1285676999
LBN Legal business name Marshall, John Willis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285676999 NPPES
Georgia MEDICAID 000818364K
Georgia MEDICAID 3836151

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