Individual
DR. GARY ALLEN GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3725 CHAMPION HILLS DR STE 2000, MEMPHIS, TN 38125-2510
(901) 367-9001
(901) 565-8787
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1195
TN
363LF0000X
Family Nurse Practitioner
Primary
36282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3029427
BLUE CROSS BLUE SHIELD ID
TN
01
—
5926030
AETNA ID NUMBER
TN
01
—
8567089
CIGNA ID NUMBER
TN
Enumeration date
03/29/2007
Last updated
03/14/2025
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