Healthcare Provider Details

I. General information

NPI: 1790700771
Provider Name (Legal Business Name): DONALD KEITH ZEIGLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 05/12/2024
Certification Date: 05/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 HIGHWOOD DR
CHATTANOOGA TN
37415-3101
US

IV. Provider business mailing address

PO BOX 1615
SODDY DAISY TN
37384-1615
US

V. Phone/Fax

Practice location:
  • Phone: 423-451-7623
  • Fax: 423-451-7677
Mailing address:
  • Phone: 423-451-7623
  • Fax: 423-756-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35091
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number35091
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number35091
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: