GEOFFREY DEANE PETERSON

CHATTANOOGA, TN
NPI1659459139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  6940)
Enumeration Date2006-11-01
Last Update Date2008-04-30
Business Address
-- GEOFFREY DEANE PETERSON APN
6925 SHALLOWFORD RD APT 206
CHATTANOOGA, TN 37421-1787
Phone number: 423-894-0432
Mailing Address
-- GEOFFREY DEANE PETERSON APN
1312 N GLEN DR
HIXSON, TN 37343-4344
Phone number: 423-667-9367