Individual
DR. GARY KEITH LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N WASHINGTON ST, SUITE 300, TULLAHOMA, TN 37388-8245
(931) 455-1511
(931) 455-3001
Mailing address
1801 N WASHINGTON ST, SUITE 300, TULLAHOMA, TN 37388-8245
(931) 455-1511
(931) 455-3001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD0000025892
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006786
BLUE CROSS OF TENNESSEE
TN
05
—
3086005
—
TN
Enumeration date
10/16/2006
Last updated
07/08/2007
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