Individual
MARGARET GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 E REELFOOT AVE STE F, UNION CITY, TN 38261-5867
(731) 884-1412
(731) 884-1720
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD023524
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G702703
PTAN
TN
05
—
3067992
—
TN
01
—
P0018760
MEDICARE RAILROAD
—
Enumeration date
07/13/2005
Last updated
10/21/2016
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