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NPI Code Detail

MEDICARE: DR. BARRY G GILMORE MD

MEDICARE: DR. BARRY G GILMORE 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
1207PP0204XPediatric Emergency Medicine (Emergency Medicine) Physician30215TN

General Provider Information

NPI Number : 1437159126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY G GILMORE MD
Provider Business Mailing Address
First Line : 5885 AIRLINE RD UNIT 1011
Second Line :
City : ARLINGTON
State : TN
Zip : 38002-5122
Country : US
Telephone Number : 901-317-7427
Fax Number : 901-317-7585
Provider Business Practice Location Address
First Line : 848 ADAMS AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2816
Country : US
Telephone Number : 901-287-6112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 04/08/2016

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