Randy A Gaw MD

NPI 1669406500 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1669406500
Gender Male
Enumeration Date 07/10/2006
Last Updated 12/11/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
145 W 4TH ST
SUITE 201
COOKEVILLE TN, 38501-2447, US
Phone (931) 783-2902
Fax (931) 783-2219
Business Location
127 N OAK AVE
SUITE D
COOKEVILLE TN, 38501-2435, US
Phone (931) 783-5857
Fax (931) 526-6760
Toxanomy
Taxonomy Code 2084N0400X
License State Tennessee
License Number MD00000015827
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According to our database, Randy A Gaw MD NPI is 1669406500, taxonomy code is 2084N0400X and license number is MD00000015827, license state is located at Tennessee. Randy A Gaw MD physically located at 145 W 4th St, Cookeville TN, 38501-2447. NPI Number Randy A Gaw MD has the Individual type.

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1669406500 NPI number is provided on an as is basis without warranty of any kind. 1669406500 is maintained by the National Plan & Provider Enumeration System. The contents of Randy A Gaw MD are for informational purposes only.