Individual
THOMAS W GILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601
(423) 282-9011
Mailing address
2410 SUSANNAH STREET, JOHNSON CITY, TN 37601
(423) 282-9011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55492
TN
Other
Enumeration date
05/08/2012
Last updated
12/17/2019
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