Individual
GABRIEL THOMAS PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 BRANDONWOOD DR, JOHNSON CITY, TN 37604-2153
(423) 773-4656
Mailing address
199 BRANDONWOOD DR, JOHNSON CITY, TN 37604-2153
(423) 773-4656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000224340
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
33440
TN
Other
Enumeration date
03/10/2022
Last updated
11/09/2023
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