Provider Demographics
NPI:1952302002
Name:CHADWICK, FRANK B JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:B
Last Name:CHADWICK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 535744
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-5510
Mailing Address - Country:US
Mailing Address - Phone:844-294-5114
Mailing Address - Fax:865-691-0843
Practice Address - Street 1:135 W RAVINE RD
Practice Address - Street 2:SUITE 5-B
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3847
Practice Address - Country:US
Practice Address - Phone:423-224-3460
Practice Address - Fax:423-224-3465
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN37571207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
293237OtherANTHEM BCBS
TN3885439Medicaid
VA010021936Medicaid
4063052OtherBLUE SHIELD OF TN
00013859OtherNHC CARE ADMINISTRATORS
P00039183OtherRAILROAD MEDICARE
TN0100OtherJOHN DEERE
VA010021936Medicaid
P00039183OtherRAILROAD MEDICARE
VA010021936Medicaid
P00039183OtherRAILROAD MEDICARE
H84257Medicare UPIN