| Gilbert R Ghearing | |
|
100 Old Jefferson St Celina TN 38551-4040 | |
| (931) 243-5259 | |
| (931) 243-5156 |
| Full Name | Gilbert R Ghearing |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Old Jefferson St, Celina, Tennessee |
| Authorized Official Name and Position | Gilbert R Ghearing (OWNER) |
| Authorized Official Contact | 9312435259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert R Ghearing 100 Old Jefferson St Celina TN 38551-4040 Ph: (931) 243-5259 | Gilbert R Ghearing 100 Old Jefferson St Celina TN 38551-4040 Ph: (931) 243-5259 |
| NPI Number | 1558662379 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 09/29/2015 |
| Medicare PECOS PAC ID | 3577750736 |
|---|---|
| Medicare Enrollment ID | O20101214000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558662379 | NPI | - | NPPES |
| 3018363 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mandy N Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063760627 PECOS PAC ID: 7315174547 Enrollment ID: I20131216000531 |
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