Individual
TIMOTHY E GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 N JAMES CAMPBELL BLVD STE 100, COLUMBIA, TN 38401-2754
(931) 375-1050
(931) 380-9269
Mailing address
1050 N JAMES CAMPBELL BLVD STE 100, COLUMBIA, TN 38401-2754
(931) 375-1050
(931) 380-9269
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TN16081
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86394
BCBS
TN
Enumeration date
06/06/2006
Last updated
11/25/2020
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