Organization
SUMMIT PRIMARY CARE
Active
Organization
SUMMIT PRIMARY CARE
Active
Other names
ROBERT B GASTON JR MD
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DUGAN (ADMINISTRATOR)
(615) 391-1515
Entity
Organization
Contact information
Practice address
3939 CENTRAL PIKE, HERMITAGE, TN 37076-3410
(615) 883-2331
(615) 391-1785
Mailing address
3939 CENTRAL PIKE, HERMITAGE, TN 37076-3410
(615) 883-2331
(615) 391-1785
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD10309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3176920
—
TN
01
—
4439370
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/20/2006
Last updated
04/15/2008
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