Individual
GEOFFREY DEANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
6925 SHALLOWFORD RD, APT 206, CHATTANOOGA, TN 37421-1787
(423) 894-0432
Mailing address
1312 N GLEN DR, HIXSON, TN 37343-4344
(423) 667-9367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6940
TN
Other
Enumeration date
11/01/2006
Last updated
04/30/2008
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