Individual
JAMES BRADLEY GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2204 PAVILION DR, SUITE 105, KINGSPORT, TN 37660-4657
(423) 392-6343
(423) 392-6159
Mailing address
2204 PAVILION DR, SUITE 105, KINGSPORT, TN 37660-4657
(423) 392-6343
(423) 392-6159
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14710
TN
Other
Enumeration date
02/22/2010
Last updated
01/15/2013
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