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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY L GASTINEAU

Active

JERRY L GASTINEAU is a Family Medicine healthcare provider located in ELIZABETHTON, Tennessee. NPI 1124118971 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ELIZABETHTON, TN

Registration Details

NPI Number
1124118971
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2006 (19.689634940082 yrs)
Last Updated
Dec 18, 2014
Licenses
MD7688 (TN)
7688 (TN)

Practice Information

Address
1505 W ELK AVE
SUITE 2
ELIZABETHTON, TN, 376432848
Browse TN providers · Browse ZIP 37643
Phone
4235431261
Fax
4235437500
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ELIZABETHTON, TN

Name Credential NPI
DR. ALY A. BASSAL M.D., F.I.C.S. 1275530560
DR. KENNETH M HOPLAND M.D. 1255331740
DR. BUDDY J CLAYTON MD 1477525699
DR. DONALD FREDERICK THOMPSON M.D. 1043282213
MR. CRAIG D SCHMALZRIED M.D. 1831167741
MISS REBEKAH J COTE DO 1487603742
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.