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NPI Code Detail

MEDICARE: DR. LARRY DEAN GURLEY M.D.

MEDICARE:  DR. LARRY DEAN GURLEY  M.D.
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
1207VG0400XGynecology PhysicianMD11691TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10023517OTHERTNBC/BS TN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629052378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY DEAN GURLEY M.D.
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number :
Provider Business Practice Location Address
First Line : 300 20TH AVE N
Second Line : SUITE 102
City : NASHVILLE
State : TN
Zip : 37203-2132
Country : US
Telephone Number : 615-284-1500
Fax Number : 615-284-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 11/11/2025

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