Individual
DANIEL JAMES GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1602
(806) 430-3500
Mailing address
730 FROST BOTTOM RD, OLIVER SPRINGS, TN 37840-6006
(865) 696-4104
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C2791
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD37069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3882314
—
TN
01
—
4123793
BCBS OF TENNESSEE
TN
01
—
P00317078
RAILROAD MEDICARE
TN
Enumeration date
06/20/2006
Last updated
08/13/2024
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