Individual
GARY L LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1826 N MAIN AVE, ERWIN, TN 37650-8932
(423) 743-6135
(423) 743-0035
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 743-6135
(423) 743-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
10/31/2011
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