Individual
STEPHANIE LYNN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11616 CHAPMAN HWY, SEYMOUR, TN 37865-5046
(865) 579-3720
(866) 406-8173
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3609
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q046893
—
TN
Enumeration date
09/12/2012
Last updated
02/14/2025
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