Individual
DR. GERALD F LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD020536
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053386
ANTHEM
KY
01
—
000135151
BCBS OF TN
TN
05
—
006037020
—
VA
01
—
058719
ANTHEM
VA
01
—
100010622
PHP TENNCARE
TN
05
—
1830464000
—
WV
05
—
3700033
—
TN
01
—
4675259
AETNA
TN
05
—
64922735
—
KY
01
—
TN0104
UNITED HEALTHCARE RIVER V
TN
Enumeration date
09/14/2005
Last updated
05/27/2008
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