Gurganious, Le Roy

Gurganious, Le Roy is an individual health care provider with primary practice located at 108 Medical Center Blvd Suite 100, Fayetteville TN 37334-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gurganious, Le Roy can be contacted via phone (931) 433-1102.

Contact Information

Primary practice address
108 Medical Center Blvd Suite 100 Fayetteville TN 37334-2741
Phone: (931) 433-1102
Fax: (931) 433-0522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43870 Tennessee

Profile Details

NPI number 1710097290
LBN Legal business name Gurganious, Le Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 2nd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710097290 NPPES
Florida Other 2864255 AETNA HMO
Florida Other 5261266 AETNA HMO
Florida Other 8913135002 AETNA HMO
Florida MEDICAID 1508795 AETNA HMO
Florida Other P00084628 AETNA HMO

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