Healthcare Provider Details

I. General information

NPI: 1700879533
Provider Name (Legal Business Name): MONICA L GEFTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E 3RD ST SUITE 208
CHATTANOOGA TN
37403-2104
US

IV. Provider business mailing address

PO BOX 11410
CHATTANOOGA TN
37401-2410
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-2550
  • Fax: 423-778-2934
Mailing address:
  • Phone: 423-778-2933
  • Fax: 423-778-2934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD14196
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: