Individual
DR. JULIE ANN KOFFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2108 E 3RD ST STE 200, CHATTANOOGA, TN 37404-2624
(423) 267-0466
(423) 778-5177
Mailing address
979 E 3RD ST STE 300, CHATTANOOGA, TN 37403-2187
(423) 267-0466
(423) 778-5177
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
61841
TN
208600000X
Surgery Physician
JS066015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4791469
—
MI
Enumeration date
11/08/2006
Last updated
08/31/2020
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