Individual
GARY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2859 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8360
(731) 660-8377
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27379
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD27379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3836084
—
TN
Enumeration date
03/07/2006
Last updated
09/25/2024
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