MEDICARE: TROY GILSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	20193	TN

General Provider Information

NPI Number	:	1275621252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY GILSON MD

Provider Business Mailing Address
First Line	:	118 N CHURCH ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-3636
Country	:	US
Telephone Number	:	615-278-2241
Fax Number	:	615-904-9182

Provider Business Practice Location Address
First Line	:	940 S OCOEE ST
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-2601
Country	:	US
Telephone Number	:	423-479-5454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	10/10/2023

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