person
Jerry L Gastineau
Family Medicine Physician in Elizabethton, Tennessee
NPI 1124118971

Jerry L Gastineau is a Family Medicine Physician based in Elizabethton, TN. Jerry L Gastineau practices in Elizabethton, TN. The NPI Number for Jerry L Gastineau is 1124118971 and holds a License No. MD7688 (Tennessee).

The current practice location address for Jerry L Gastineau is 1505 W Elk Ave, Elizabethton, TN and can be reached out via phone at 423-543-1261 and via fax at 423-543-7500.

Location: 1505 W Elk Ave, Elizabethton, TN, 37643-2848
person
Provider Profile Details
NPI Number
1124118971
Provider Name
Jerry L Gastineau
Credential
Provider Entity Type
Individual
Gender
Male
Address
1505 W Elk Ave, Elizabethton, TN, 37643-2848
Phone Number
423-543-1261
Fax Number
423-543-7500
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201575 01 TN BLUECARE
3152032 05 TN
BLUECROSS 01 TN 201575
TN0102 01 TN AMERICHOICE
TN0102 01 TN JOHNDEERE
4360576 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
1505 W Elk Ave
City
State
Zip
37643-2848
Phone Number
423-543-1261
Fax Number
423-543-7500
person
Provider Business Mailing Address Details
Address
1505 W Elk Ave
City
State
Zip
37643-2848
Phone Number
423-543-1261
Fax Number
423-543-7500
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Medical Genetics, Ph.D. Medical Genetics
Speciality
-
Taxonomy
License No.
7688 (Tennessee)
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD7688 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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