Individual
GARY R MARGOLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1693
Mailing address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30405
KY
207RR0500X
Rheumatology Physician
Primary
21326
TN
207RR0500X
Rheumatology Physician
30405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047065
BLUE CROSS & BLUE SHIELD
KY
01
—
022092900
BLACK LUNG INSURANCE
KY
01
—
110128892
RAILROAD MEDICARE
KY
01
—
1283881
UNITED MINE WORKERS ASSOC
KY
01
—
4603211
AETNA INSURANCE COMPANY
KY
05
—
64304058
—
KY
Enumeration date
06/19/2006
Last updated
02/06/2015
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