Healthcare Provider Details

I. General information

NPI: 1528264223
Provider Name (Legal Business Name): CLARISSA S GEYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 W 4TH NORTH ST
MORRISTOWN TN
37814-3894
US

IV. Provider business mailing address

1934 ALCOA HWY STE 474
KNOXVILLE TN
37920-1526
US

V. Phone/Fax

Practice location:
  • Phone: 423-522-4900
  • Fax: 423-522-4901
Mailing address:
  • Phone: 865-544-8780
  • Fax: 865-544-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD0000034568
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: