Individual
DR. CURTIS STOKES KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST, SUITE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0747
Mailing address
979 E 3RD ST, SUITE 300, CHATTANOOGA, TN 37403-2136
(423) 757-0747
(423) 757-0770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD40365
TN
2086S0120X
Pediatric Surgery Physician
054446
GA
2086S0120X
Pediatric Surgery Physician
Primary
MD40365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514319
—
TN
01
—
40365
SURGERY/PEDIATRIC SURGERY
TN
01
—
4230223
BCBS
TN
01
—
4662239
CIGNA
—
05
—
7617621
—
NC
05
—
905222216A
—
GA
Enumeration date
01/31/2008
Last updated
02/11/2015
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