Phelps, Gregory L.

Phelps, Gregory L. is an individual health care provider with primary practice located at 4411 Oakwood Dr , Chattanooga TN 37416-2367. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Phelps, Gregory L. can be contacted via phone (423) 892-4289.

Contact Information

Primary practice address
4411 Oakwood Dr Chattanooga TN 37416-2367
Phone: (423) 892-4289
Fax: (423) 553-1818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD027356 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027356 Tennessee
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD027356 Tennessee

Profile Details

NPI number 1336109412
LBN Legal business name Phelps, Gregory L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 7th, 2016 - about 10 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 1336109412 NPPES
Tennessee MEDICAID 0447283
Tennessee MEDICAID 1501013
Tennessee MEDICAID 000579268A
Tennessee MEDICAID 3808658
Tennessee Other 441504

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