Individual
AUSTIN GILLOGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 MEDICAL CENTER PKWY, MURFREESBORO, TN 37129-2245
(615) 396-4694
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 396-4694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62332
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62332
TN LICENSE #
TN
Enumeration date
04/04/2019
Last updated
05/25/2022
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