Individual
JEFFREY GEARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6005 PARK AVE, SUITE 406, MEMPHIS, TN 38119-5202
(901) 682-6828
Mailing address
PO BOX 171181, MEMPHIS, TN 38187-1181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R50693
AR
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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