Individual
GATES J WAYBURN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4306 HARDING RD, STE 300, NASHVILLE, TN 37205
(615) 383-4303
(615) 269-4970
Mailing address
4306 HARDING RD, STE 300, NASHVILLE, TN 37205
(615) 383-4303
(615) 269-4970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD9802
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3160348
—
TN
Enumeration date
07/08/2006
Last updated
09/30/2013
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