Individual
MR. GARY NELSON MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Mailing address
100 LANTANA RD, SUITE 202, CROSSVILLE, TN 38555-1903
(931) 484-5141
(931) 484-5620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11876
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110232683
RAILROAD MEDICARE
—
05
—
3180376
—
TN
01
—
4032687
BLUE CROSS
TN
Enumeration date
08/11/2006
Last updated
12/11/2009
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