Individual
ROBERT BERNARD GASTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3939 CENTRAL PIKE, HERMITAGE, TN 37076
(615) 883-2331
(615) 391-1785
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 10309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3176920
—
TN
Enumeration date
11/14/2005
Last updated
05/02/2023
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