PERSONAL MEDICINE LLC - NPI 1780975540 - Family Medicine in Chattanooga, TN

Q: What is Personal Medicine LLC's NPI number?

The NPI number for Personal Medicine LLC is 1780975540. It was assigned to this organization in the NPPES registry on April 28, 2011.

Q: What is Personal Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

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About Personal Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONAL MEDICINE LLC (NPI 1780975540) is a healthcare organization registered as an addiction medicine in Chattanooga, Tennessee and active in the NPI registry since April 2011. The organization lists John Brendle Standridge, Owner, as its authorized official.

NPPES Registry Identity

NPI1780975540

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NamePERSONAL MEDICINE LLC

Location Address207 SPEARS AVEChattanooga, TN 37405

Mailing Address6838 Buck Trail DrHarrison, TN 37341-4912 · (423) 531-4265 · Fax (423) 531-4267

Phone(423) 531-4265

Fax(423) 531-4267

Organization SubpartNo

Authorized OfficialJohn Brendle StandridgeOwner · (423) 531-4265

Enumeration DateApril 28, 2011

Last NPPES UpdateJune 23, 20182 updates tracked since enumeration

✔ NPI 1780975540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

207 SPEARS AVE, Chattanooga, TN 37405

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Other Identifiers 1

Medicaid1523731TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA JEWEL LARSON DNP, FNP - C

Nurse Practitioner (Psychiatric/Mental Health)