Individual
GORDON MARSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406 TUSCULUM BLVD STE 1200, GREENEVILLE, TN 37745-4341
(423) 302-6565
(423) 952-2175
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD012964
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30119111
—
TN
Enumeration date
06/08/2006
Last updated
10/01/2024
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