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NPI Code Detail

MEDICARE: DR. CHRIS L GILLESPIE MD

MEDICARE:  DR. CHRIS L GILLESPIE  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
1207R00000XInternal Medicine Physician8810TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699776658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRIS L GILLESPIE MD
Provider Business Mailing Address
First Line : 2095 EXETER RD
Second Line : SUITE 80-266
City : GERMANTOWN
State : TN
Zip : 38138-3963
Country : US
Telephone Number : 901-844-1434
Fax Number : 901-844-1439
Provider Business Practice Location Address
First Line : 1861 OLD TOWNE LN
Second Line :
City : GERMANTOWN
State : TN
Zip : 38139-6411
Country : US
Telephone Number : 901-844-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 09/04/2014

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