Provider Demographics
NPI:1205143187
Name:CARDEN, JOHN STEWART (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:STEWART
Last Name:CARDEN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2372 LIFESTYLE WAY
Mailing Address - Street 2:STE 152
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4940
Mailing Address - Country:US
Mailing Address - Phone:423-894-0432
Mailing Address - Fax:423-894-0475
Practice Address - Street 1:3372 KEITH ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3718
Practice Address - Country:US
Practice Address - Phone:423-476-4751
Practice Address - Fax:423-339-2692
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2020-01-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant