Gillespie, Marion Boyd
Gillespie, Marion Boyd is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gillespie, Marion Boyd can be contacted via phone (901) 609-3570.Contact Information
Primary practice address
7945 Wolf River Blvd
Germantown TN 38138-1762
Phone: (901) 609-3570
Fax: (901) 266-6443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21752 | South Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 54812 | Tennessee |
Profile Details
| NPI number | 1255444212 |
|---|---|
| LBN Legal business name | Gillespie, Marion Boyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jun 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255444212 | NPPES |
| South Carolina | MEDICAID | T59120 |
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