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NPI Code Detail

MEDICARE: DR. THOMAS RAY GILL DC

MEDICARE: DR. THOMAS RAY GILL DC
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
1111N00000XChiropractorDC88TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10022250OTHERTNBCBS
28644815OTHERTNCIGNA HC

General Provider Information

NPI Number : 1437144060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS RAY GILL DC
Provider Business Mailing Address
First Line : 3625 COVINGTON PIKE
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-3904
Country : US
Telephone Number : 901-377-8706
Fax Number : 901-385-6807
Provider Business Practice Location Address
First Line : 3625 COVINGTON PIKE
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-3904
Country : US
Telephone Number : 901-377-8706
Fax Number : 901-385-6807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 09/27/2010

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Directions to “ DR. THOMAS RAY GILL DC” Practice Location

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