Provider Demographics
NPI:1851663595
Name:GOODEN, KATRINA VONWERSSOWETZ (MD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:VONWERSSOWETZ
Last Name:GOODEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4976 ALPHA LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5470
Mailing Address - Country:US
Mailing Address - Phone:423-308-0280
Mailing Address - Fax:423-308-0281
Practice Address - Street 1:1651 GUNBARREL RD STE 302
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3291
Practice Address - Country:US
Practice Address - Phone:423-899-2904
Practice Address - Fax:423-892-5058
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2023-04-13
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Provider Licenses
StateLicense IDTaxonomies
TN50329207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine