| Chris L Gillespie Md Pllc | |
|
1861 Old Towne Ln Germantown TN 38139-6411 | |
| (901) 844-2500 | |
| Not Available |
| Full Name | Chris L Gillespie Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1861 Old Towne Ln, Germantown, Tennessee |
| Authorized Official Name and Position | Christopher L Gillespie (OWNER) |
| Authorized Official Contact | 9018441434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris L Gillespie Md Pllc 2095 Exeter Rd Suite 80-266 Germantown TN 38138-3963 Ph: (901) 844-2500 | Chris L Gillespie Md Pllc 1861 Old Towne Ln Germantown TN 38139-6411 Ph: (901) 844-2500 |
| NPI Number | 1568863801 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Medicare PECOS PAC ID | 0042431710 |
|---|---|
| Medicare Enrollment ID | O20141021002950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568863801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8810 (Tennessee) | Primary |
| Provider Name | Christopher L Gillespie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699776658 PECOS PAC ID: 3476542499 Enrollment ID: I20040511001004 |
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