Individual
JERRY L GASTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 W ELK AVE, SUITE 2, ELIZABETHTON, TN 37643-2848
(423) 543-1261
(423) 543-7500
Mailing address
1505 W ELK AVE, SUITE 2, ELIZABETHTON, TN 37643-2848
(423) 543-1261
(423) 543-7500
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
MD7688
TN
207Q00000X
Family Medicine Physician
Primary
7688
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201575
BLUECARE
TN
05
—
3152032
—
TN
01
—
4360576
BCBS
TN
01
—
BLUECROSS
201575
TN
01
—
TN0102
AMERICHOICE
TN
Enumeration date
10/13/2006
Last updated
12/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us