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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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