Individual
MR. GARY BLAINE TOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1430 RIVER BOAT CIR, APT 104, MEMPHIS, TN 38103-6988
(901) 210-5584
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000000973
TN
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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