Individual
MR. STEPHEN C GANTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 HOSPITAL DR, STE 130, JEFFERSON CITY, TN 37760-5279
(865) 475-4742
(865) 475-4742
Mailing address
120 HOSPITAL DR, STE 130, JEFFERSON CITY, TN 37760-5279
(865) 475-4742
(865) 475-4742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34928
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3871928
—
TN
Enumeration date
06/27/2005
Last updated
07/08/2007
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