Healthcare Provider Details

I. General information

NPI: 1326012683
Provider Name (Legal Business Name): FRANK B CALHOUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2158 NORTHGATE PARK LN STE 104
CHATTANOOGA TN
37415-6957
US

IV. Provider business mailing address

2158 NORTHGATE PARK LN STE 104
CHATTANOOGA TN
37415-6957
US

V. Phone/Fax

Practice location:
  • Phone: 423-531-3398
  • Fax: 423-531-3495
Mailing address:
  • Phone: 423-531-3398
  • Fax: 423-531-3495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD10381
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD010381
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: