Provider Demographics
NPI:1013994615
Name:LARAMORE, JOHN W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:LARAMORE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:605 GLENWOOD DR
Mailing Address - Street 2:SUITE 404
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1108
Mailing Address - Country:US
Mailing Address - Phone:423-629-7220
Mailing Address - Fax:423-629-4091
Practice Address - Street 1:605 GLENWOOD DR
Practice Address - Street 2:SUITE 404
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1108
Practice Address - Country:US
Practice Address - Phone:423-629-7220
Practice Address - Fax:423-629-4091
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2008-08-13
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Provider Licenses
StateLicense IDTaxonomies
TN10061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3161580Medicare ID - Type Unspecified