Individual
EVELYN W GAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 HUMPHREYS CTR, SUITE 23, MEMPHIS, TN 38120-2368
(901) 383-8860
(901) 383-8985
Mailing address
PO BOX 1000 DEPT 34, MEMPHIS, TN 38148
(901) 383-8860
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07428308
—
MS
05
—
136515001
—
AR
01
—
300138306
RAILROAD MEDICARE
TN
05
—
3035937
—
TN
01
—
4053294
BCBS
TN
01
—
97877
BCBS
AR
Enumeration date
08/31/2006
Last updated
06/29/2010
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