Healthcare Provider Details

I. General information

NPI: 1720921455
Provider Name (Legal Business Name): JOHN RICHARD LAYMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JACK LAYMAN MD

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST # 112
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

240 HODGSON DR
ATHENS GA
30606-2962
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-7628
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: