Gordon, Timothy E

Gordon, Timothy E is an sole proprietor health care provider with primary practice located at 1050 N James Campbell Blvd Ste 100 , Columbia TN 38401-2754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gordon, Timothy E can be contacted via phone (931) 375-1050.

Contact Information

Primary practice address
1050 N James Campbell Blvd Ste 100 Columbia TN 38401-2754
Phone: (931) 375-1050
Fax: (931) 380-9269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X TN16081 Tennessee

Profile Details

NPI number 1750320453
LBN Legal business name Gordon, Timothy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Nov 25th, 2020 - about 5 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 1750320453 NPPES
Tennessee Other 86394 BCBS

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