Gaw, Randy A

Gaw, Randy A is an individual health care provider with primary practice located at 145 W 4Th St Ste 201 , Cookeville TN 38501-2476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gaw, Randy A can be contacted via phone (931) 783-4901.

Contact Information

Primary practice address
145 W 4Th St Ste 201 Cookeville TN 38501-2476
Phone: (931) 783-4901
Fax: (931) 783-4991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00000015827 Tennessee

Profile Details

NPI number 1669406500
LBN Legal business name Gaw, Randy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 1st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669406500 NPPES
Tennessee MEDICAID 1531621
Tennessee Other 4351476
Tennessee MEDICAID 7100434210

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