Healthcare Provider Details

I. General information

NPI: 1760413702
Provider Name (Legal Business Name): GARY J VOYTIK D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3913 GEORGETOWN RD NW
CLEVELAND TN
37312-1806
US

IV. Provider business mailing address

2700 WESTSIDE DR NW SUITE 301
CLEVELAND TN
37312-3699
US

V. Phone/Fax

Practice location:
  • Phone: 423-479-3600
  • Fax: 423-303-1234
Mailing address:
  • Phone: 423-479-3600
  • Fax: 423-303-1234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDO1133
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: