Provider Demographics
NPI:1831210152
Name:WASHBURN, BETSY J (MD)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:J
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:605 GLENWOOD DRIVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1108
Mailing Address - Country:US
Mailing Address - Phone:423-698-0304
Mailing Address - Fax:423-622-7068
Practice Address - Street 1:605 GLENWOOD DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1108
Practice Address - Country:US
Practice Address - Phone:423-698-0304
Practice Address - Fax:423-622-7068
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2012-11-01
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Provider Licenses
StateLicense IDTaxonomies
TN487092086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I919329Medicare PIN