Healthcare Provider Details

I. General information

NPI: 1740278431
Provider Name (Legal Business Name): TOMASZ H VOYCHEHOVSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 SHALLOWFORD RD SUITE 226
CHATTANOOGA TN
37421-6784
US

IV. Provider business mailing address

6918 SHALLOWFORD RD SUITE 206
CHATTANOOGA TN
37421-6784
US

V. Phone/Fax

Practice location:
  • Phone: 423-855-0841
  • Fax: 423-894-7726
Mailing address:
  • Phone: 423-855-2552
  • Fax: 423-855-9041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number023777
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: