Organization
JEFFREY J GLEASON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J GLEASON MD (MEMBER)
(931) 528-7527
Entity
Organization
Contact information
Practice address
317 N HICKORY AVE, COOKEVILLE, TN 38501-2428
(931) 528-7527
(931) 372-8839
Mailing address
317 N HICKORY AVE, COOKEVILLE, TN 38501-2428
(931) 528-7527
(931) 372-8839
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096602
—
TN
Enumeration date
09/20/2006
Last updated
05/28/2008
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