Individual
GERALD G OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 INDEPENDENCE LN, LA FOLLETTE, TN 37766
(423) 462-1705
(423) 566-3718
Mailing address
130 INDEPENDENCE LN, LA FOLLETTE, TN 37766-3073
(423) 562-1705
(423) 566-3718
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2003015148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512315
—
TN
05
—
208810002
—
MO
05
—
Q000489
—
TN
Enumeration date
12/13/2005
Last updated
08/28/2018
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