Individual
NARCISO CUSEODIO GABOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1312 CENTRAL CT, HERMITAGE, TN 37076-3142
(615) 316-0940
(615) 316-0941
Mailing address
1312 CENTRAL CT, HERMITAGE, TN 37076-3142
(615) 316-0940
(615) 316-0941
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
131589MD
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000681
—
TN
Enumeration date
12/20/2006
Last updated
07/08/2007
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