Individual
MR. GERALD EMERSON BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2801 CHARLOTTE AVE., NASHVILLE, TN 37209
(615) 250-9200
(615) 250-9251
Mailing address
P.O. BOX 409879, ATLANTA, GA 30384-9879
(615) 261-6000
(615) 261-6052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000001018
TN
363A00000X
Physician Assistant
PA01018
TN
Other
Enumeration date
10/09/2006
Last updated
09/26/2008
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