Individual provider · Type 1 NPI
Eugene D. Eddlemon, MD
Vascular Surgery Physician · Cleveland, TN
NPI number
1871525477
Active
Practice location
2253 Chambliss Ave., Ste. 401
Cleveland, TN 37311
Fax (423) 778-5177
Mailing address
979 E 3rd Street, Ste. 300
Chattanooga, TN 37403-2187
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | G68376 (CA) |
| Vascular Surgery Physician | 2086S0129X | G68376 (CA) |
| Vascular Surgery Physician Primary | 2086S0129X | MD67391 (TN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1871525477
Eugene D. Eddlemon, MD's National Provider Identifier is 1871525477, issued on Jul 6, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Cleveland, TN. The record was last updated on Oct 25, 2024.