Organization
BRADLEY GIPSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY PAUL GIPSON DPM (CEO)
(865) 457-0905
Entity
Organization
Contact information
Practice address
358 INDIAN HILLS CIR, #B, CLINTON, TN 37716-6564
(865) 457-0905
(865) 457-0902
Mailing address
358 INDIAN HILLS CIR, #B, CLINTON, TN 37716-6564
(865) 457-0905
(865) 457-0902
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
661
TN
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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