Individual
JERALD CRAIG GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 MARK ALLEN LN STE G, MURFREESBORO, TN 37129-5556
(662) 871-7270
(844) 414-0376
Mailing address
1411 MARK ALLEN LN STE G, MURFREESBORO, TN 37129-5556
(662) 871-7270
(844) 414-0376
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000099
TN
224P00000X
Prosthetist
PRO0000000077
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO2599
TN
Other
Enumeration date
01/17/2017
Last updated
07/21/2022
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