Individual
STEPHEN T GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 W 4TH NORTH ST, MORRISTOWN, TN 37814
(423) 586-4231
(865) 291-3228
Mailing address
286 WILMORE DR, WHITE PINE, TN 37890-4734
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101050730
TN
207P00000X
Emergency Medicine Physician
9400256
NC
208M00000X
Hospitalist Physician
0101050730
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508807876
—
VA
05
—
3011285
—
TN
05
—
64922552
—
KY
01
—
NCV266A
MEDICARE PTAN
NC
Enumeration date
06/09/2006
Last updated
06/11/2018
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