Individual
DR. STEPHEN A. GERACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 979-4100
(423) 979-4134
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 979-4100
(423) 979-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18730
MS
207RC0000X
Cardiovascular Disease Physician
18730
MS
207RC0000X
Cardiovascular Disease Physician
Primary
24701
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
18730
MS
Other
Enumeration date
07/17/2006
Last updated
08/22/2018
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