Healthcare Provider Details

I. General information

NPI: 1457392433
Provider Name (Legal Business Name): JAMES E. JOLLEY II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 N LYERLY ST STE 300
CHATTANOOGA TN
37404-2748
US

IV. Provider business mailing address

281 NORTH LYERLY STREET SUITE 300
CHATTANOOGA TN
37404
US

V. Phone/Fax

Practice location:
  • Phone: 423-693-2175
  • Fax: 888-959-1015
Mailing address:
  • Phone: 423-693-2175
  • Fax: 888-959-1015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD31776
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD31776
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: