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NPI Code Detail

MEDICARE: GREGORY D. OLDS MD

MEDICARE: GREGORY D. OLDS 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
1207RG0100XGastroenterology Physician86555GA
2207RG0100XGastroenterology Physician49152TN
3207RG0100XGastroenterology Physician4301083262MI

General Provider Information

NPI Number : 1972671428
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY D. OLDS MD
Provider Business Mailing Address
First Line : 4976 ALPHA LN
Second Line :
City : HIXSON
State : TN
Zip : 37343-5470
Country : US
Telephone Number : 423-497-5355
Fax Number : 423-308-0281
Provider Business Practice Location Address
First Line : 2200 E 3RD ST STE 200
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-2745
Country : US
Telephone Number : 423-643-2500
Fax Number : 423-305-7822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 02/06/2026

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