Stephanie Lynn Gorman, DO | |
11616 Chapman Hwy, Seymour, TN 37865-5046 | |
(865) 579-3720 | |
(866) 406-8173 |
Full Name | Stephanie Lynn Gorman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 11616 Chapman Hwy, Seymour, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912257502 | NPI | - | NPPES |
Q046893 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 3609 (Tennessee) | Primary |
Entity Name | Mmc Pediatrics Faculty Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285648154 PECOS PAC ID: 0143406918 Enrollment ID: O20110511000496 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lynn Gorman, DO Po Box 15004, Knoxville, TN 37901-5004 Ph: (865) 541-8895 | Stephanie Lynn Gorman, DO 11616 Chapman Hwy, Seymour, TN 37865-5046 Ph: (865) 579-3720 |
Wilson Lee Powers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11021 Chapman Hwy, Seymour, TN 37865 Phone: 865-579-3720 Fax: 865-577-7309 | |
Dr. Jill Mcdowell Newsome, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 212 Phoenix Ct, Suite 1, Seymour, TN 37865 Phone: 865-577-6475 Fax: 865-577-7942 | |
Frederick William Hodge, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11616 Chapman Hwy, Seymour, TN 37865 Phone: 865-579-3720 Fax: 865-577-7309 | |
Dr. David Enrique Mendez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 212 Phoenix Ct, Suite 1, Seymour, TN 37865 Phone: 865-577-6475 Fax: 865-577-7942 | |
Dr. Laura Michelle Asbury, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11616 Chapman Hwy, Seymour, TN 37865 Phone: 865-579-3720 | |
Anil Harsh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11021 Chapman Hwy, Seymour, TN 37865 Phone: 865-579-3720 Fax: 865-577-7309 |