Individual
FERESHTEH GERAYLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604
(423) 439-6464
(423) 439-7118
Mailing address
P. O. BOX 699, MOUNTAIN CITY, TN 37684-0699
(423) 439-6464
(423) 439-7118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509318
—
TN
Enumeration date
12/22/2005
Last updated
01/17/2024
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