Provider Demographics
NPI:1528264223
Name:GEYER, CLARISSA S (MD)
Entity type:Individual
Prefix:DR
First Name:CLARISSA
Middle Name:S
Last Name:GEYER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1934 ALCOA HWY STE 474
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1526
Mailing Address - Country:US
Mailing Address - Phone:865-544-8780
Mailing Address - Fax:865-544-8199
Practice Address - Street 1:908 W 4TH NORTH ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3894
Practice Address - Country:US
Practice Address - Phone:423-522-4900
Practice Address - Fax:423-522-4901
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000034568207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH41831Medicare UPIN