London, Gerald F

London, Gerald F is an individual health care provider with primary practice located at 135 W Ravine Rd Suite 3A, Kingsport TN 37660-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. London, Gerald F can be contacted via phone (423) 246-6777.

Contact Information

Primary practice address
135 W Ravine Rd Suite 3A Kingsport TN 37660-3847
Phone: (423) 246-6777
Fax: (423) 246-7766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD020536 Tennessee

Profile Details

NPI number 1659366888
LBN Legal business name London, Gerald F
Credentials MD FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated May 27th, 2008 - about 16 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 1659366888 NPPES
Kentucky MEDICAID 64922735
Kentucky Other TN0104
Kentucky Other 000135151
Kentucky MEDICAID 3700033
Kentucky Other 000000053386
Kentucky MEDICAID 006037020
Kentucky Other 100010622
Kentucky MEDICAID 1830464000
Kentucky Other 058719
Kentucky Other 4675259

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