Organization
BEHAVIORAL MEDICINE, PLLC
Active
Organization
BEHAVIORAL MEDICINE, PLLC
Active
Other names
BEHAVIORAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GOLD (OWNER)
(731) 642-4422
Entity
Organization
Contact information
Practice address
401 TYSON AVE, PARIS, TN 38242-4821
(731) 642-4422
(731) 642-0068
Mailing address
PO BOX 731, PARIS, TN 38242-0731
(731) 642-4422
(731) 642-0068
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9580
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014277
—
MS
05
—
3723326
—
TN
05
—
64053168
—
KY
01
—
DE4535
RR MEDICARE
TN
Enumeration date
02/08/2008
Last updated
08/05/2021
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