Individual
WILLARD F GAILBREATH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1420 W BADDOUR PKWY STE 100, LEBANON, TN 37087-1510
(615) 257-0190
(615) 470-8038
Mailing address
1420 W BADDOUR PKWY STE 100, LEBANON, TN 37087-1510
(615) 257-0190
(615) 470-8038
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13129
TN
Other
Enumeration date
12/17/2007
Last updated
08/21/2023
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