Individual
RANDY A GAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 W 4TH ST STE 201, COOKEVILLE, TN 38501-2476
(931) 783-4901
(931) 783-4991
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00000015827
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531621
—
TN
01
—
4351476
BCBS
TN
05
—
7100434210
—
KY
Enumeration date
07/10/2006
Last updated
02/01/2023
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