Individual
GIDEON P EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 HIGHWAY 431, BOAZ, AL 35957
(256) 840-3688
(256) 840-3101
Mailing address
11491 US HWY 431, ALBERTVILLE, AL 35950
(256) 894-6750
(256) 894-6781
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
31588
AL
207RH0003X
Hematology & Oncology Physician
MD0000042600
TN
Other
Enumeration date
01/04/2007
Last updated
10/03/2013
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