Healthcare Provider Details

I. General information

NPI: 1386609394
Provider Name (Legal Business Name): LARRY L SCHLABACH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 03/07/2023
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 MCCALLIE AVE STE 200
CHATTANOOGA TN
37403-2836
US

IV. Provider business mailing address

PO BOX 440100
NASHVILLE TN
37244-0100
US

V. Phone/Fax

Practice location:
  • Phone: 423-752-5004
  • Fax: 423-414-3834
Mailing address:
  • Phone: 615-329-0570
  • Fax: 615-329-0579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD00019043
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: