Individual
DR. MATTHEW MORGAN GANGWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 968-5225
(423) 968-1223
Mailing address
28 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 968-5225
(423) 968-1223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN19556
TN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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