Peter Roger Deversa in Chattanooga - Internal Medicine
Peter Roger Deversa - NPI 1598773871
Peter Roger Deversa is a Internal Medicine in Chattanooga, Tennessee. Peter Roger Deversa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Peter Roger Deversa is 1598773871. The last update date is 2007-10-30.
Peter Roger Deversa's current location address is 979 E 3rd St, Chattanooga, Tennessee. You can contact this provider via phone number 4236489808 and fax number 4236484570. The mailing address for Peter Roger Deversa is 979 E 3rd St, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter Roger Deversa |
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Address | 979 E 3rd St, Chattanooga, Tennessee |
Phone Number | 4236489808 |
Fax Number | 4236484570 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1598773871 |
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Provider Enumeration Date | 2006-08-03 |
Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
Address | 979 E 3rd St |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 374032136 |
Phone Number | 4236489808 |
Fax Number | 4236484570 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 29416 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Peter Roger Deversa by the Centers for Medicare & Medicaid Services (CMS)?
The Peter Roger Deversa has been assigned the NPI (National Provider Identifier) 1598773871. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Peter Roger Deversa?
The Peter Roger Deversa is physically situated at 979 E 3Rd St, in the city of Chattanooga, state of TN, with the postal code 374032136.
What is Peter Roger Deversa's area of expertise and its corresponding taxonomy classification?
The Peter Roger Deversa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1598773871 assigned to Peter Roger Deversa?
The Peter Roger Deversa was issued its 1598773871 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Peter Roger Deversa most recently updated?
The details pertaining to the Peter Roger Deversa, including its address, specialty, and other relevant information, were last refreshed on 2007-10-30.