Provider Demographics
NPI:1679752034
Name:PATRICK H. FOLEY, M.D.
Entity type:Organization
Organization Name:PATRICK H. FOLEY, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-698-6976
Mailing Address - Street 1:2337 MCCALLIE AVE
Mailing Address - Street 2:SUITE 407
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-3257
Mailing Address - Country:US
Mailing Address - Phone:423-698-6976
Mailing Address - Fax:423-698-6923
Practice Address - Street 1:2337 MCCALLIE AVE
Practice Address - Street 2:SUITE 407
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3257
Practice Address - Country:US
Practice Address - Phone:423-698-6976
Practice Address - Fax:423-698-6923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000027857208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3375406Medicaid
TN3375406Medicaid
TN3375406Medicare PIN