Individual
DR. MARILYN SCHULZ GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
856 W 4TH NORTH ST, MORRISTOWN, TN 37814-3813
(423) 587-0067
(423) 581-5882
Mailing address
856 W 4TH NORTH ST, MORRISTOWN, TN 37814-3813
(423) 587-0067
(423) 581-5882
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019858
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092751
BLUE CROSS/BLUE SHIELD
TN
05
—
3047606
—
TN
Enumeration date
06/23/2005
Last updated
10/03/2011
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