Individual
GERRI MONIQUE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
721 GLENWOOD DR STE 560, CHATTANOOGA, TN 37404-1129
(423) 622-2494
Mailing address
2302 S MERIDIAN ST # B, INDIANAPOLIS, IN 46225-2022
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
1229443
TN
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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