Individual
GAVIN COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2790 E STONE DR, KINGSPORT, TN 37660-5849
(423) 288-9286
Mailing address
2222 SUNCREST VILLAGE LN, GRAY, TN 37615-3596
(423) 431-8808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33905
TN
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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