Healthcare Provider Details

I. General information

NPI: 1972923860
Provider Name (Legal Business Name): TAYLOR J ATCHLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 GUNBARREL RD STE 400
CHATTANOOGA TN
37421-3192
US

IV. Provider business mailing address

4976 ALPHA LN
HIXSON TN
37343-5470
US

V. Phone/Fax

Practice location:
  • Phone: 423-499-4100
  • Fax: 423-499-1945
Mailing address:
  • Phone: 423-308-0280
  • Fax: 423-308-0281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29432
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number29432
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: