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Dr. John A Spann

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NPI Number Detailed Information

Provider Information:

Name: Dr. John A Spann
Gender: M
Provider License Number If Given: 7279

NPI Information:

NPI: 1578566519
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/1/2016

Provider Business Mailing Address:

Address: 6015 SHALLOWFORD ROAD
Chattanooga, TN 37421
Phone Number: 4238933333
Fax Number: 4239543054

Provider Business Practice Location Address:

Address: 6015 SHALLOWFORD ROAD
Chattanooga, TN 37421
Phone Number: 4238933333
Fax Number: 4239543054

Provider Taxonomy:

Primary: 204E00000X
Secondary (if any):
State: TN

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