Healthcare Provider Details

I. General information

NPI: 1770893547
Provider Name (Legal Business Name): JEFFREY W GEFTER M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 E 3RD ST SUITE G-20
CHATTANOOGA TN
37403-2136
US

IV. Provider business mailing address

979 E 3RD ST SUITE G-20
CHATTANOOGA TN
37403-2136
US

V. Phone/Fax

Practice location:
  • Phone: 423-756-0018
  • Fax: 423-265-2045
Mailing address:
  • Phone: 423-756-0018
  • Fax: 423-265-2045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number14183
License Number StateTN

VIII. Authorized Official

Name: DR. JEFFREY W GEFTER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 423-756-0018