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Individual

JEFFREY J GLEASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 W. 4TH STREET, SUITE 201, COOKEVILLE, TN 38501
(931) 783-2500
Mailing address
127 N. OAK AVENUE, SUITE D, COOKEVILLE, TN 38501
(931) 783-5857
(931) 526-6760

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000023618
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30966021
TN
Enumeration date
11/03/2005
Last updated
01/19/2015
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