James T. Gillespie, Jr. Md, Pc | |
1758 Hillwood Dr Knoxville TN 37920-2600 | |
(865) 246-2104 | |
(865) 246-2106 |
Full Name | James T. Gillespie, Jr. Md, Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1758 Hillwood Dr, Knoxville, Tennessee |
Authorized Official Name and Position | James T Gillespie (PRESIDENT) |
Authorized Official Contact | 8652462104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
James T. Gillespie, Jr. Md, Pc Po Box 5777 Maryville TN 37802-5777 Ph: (865) 246-2104 | James T. Gillespie, Jr. Md, Pc 1758 Hillwood Dr Knoxville TN 37920-2600 Ph: (865) 246-2104 |
NPI Number | 1487053849 |
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Provider Enumeration Date | 08/21/2014 |
Last Update Date | 02/27/2019 |
Medicare PECOS PAC ID | 5698995579 |
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Medicare Enrollment ID | O20140926000928 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487053849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD16281 (Tennessee) | Primary |
Provider Name | James T Gillespie |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841267333 PECOS PAC ID: 1456357375 Enrollment ID: I20061016000475 |
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