Basic Information
| Provider Information | |||||||||
| NPI: | 1851778427 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCOREY | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | PEARCE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1751 GUNBARREL RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374217248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237788909 | ||||||||
| FaxNumber: | 4237788910 | ||||||||
| Practice Location | |||||||||
| Address1: | 1751 GUNBARREL RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374217248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237788909 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2015 | ||||||||
| LastUpdateDate: | 07/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 3437 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.