Individual
PETER JAMES NOWOTARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST, STE C-220, CHATTANOOGA, TN 37403-3314
(423) 267-4585
(423) 265-4098
Mailing address
979 E 3RD ST, STE C-220, CHATTANOOGA, TN 37403-3314
(423) 267-4585
(423) 265-4098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30571
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797244A
—
TN
Enumeration date
12/20/2005
Last updated
03/07/2023
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