Individual
GINA M PULIDO-SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6583
Mailing address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40368
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00270650
RR MEDICARE PIN
TN
Enumeration date
06/20/2006
Last updated
04/24/2013
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