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Jerald C Gifford
Prosthetic/Orthotic Supplier in Murfreesboro, Tennessee
NPI 1851837686

Jerald C Gifford is a Prosthetic/Orthotic Supplier based in Murfreesboro, TN. Jerald C Gifford practices in Murfreesboro, TN. The NPI Number for Jerald C Gifford is 1851837686 and holds a License No. PRO77, ORT99 (Tennessee).

The current practice location address for Jerald C Gifford is 1411 Mark Allen Ln Ste C, Murfreesboro, TN and can be reached out via phone at 615-809-2650 and via fax at 615-410-7392.

Location: 1411 Mark Allen Ln Ste C, Murfreesboro, TN, 37129-5556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851837686
Provider Name
Jerald C Gifford
Credential
Provider Entity Type
Organization
Address
1411 Mark Allen Ln Ste C, Murfreesboro, TN, 37129-5556
Phone Number
615-809-2650
Fax Number
615-410-7392
Provider Enumeration Date
01/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q035307 05 TN
institution
Provider Business Practice Location Address Details
Address
1411 Mark Allen Ln Ste C
City
Murfreesboro
State
Tennessee
Zip
37129-5556
Phone Number
615-809-2650
Fax Number
615-410-7392
person
Provider Business Mailing Address Details
Address
1411 Mark Allen Ln Ste C
City
Murfreesboro
State
Tennessee
Zip
37129-5556
Phone Number
615-809-2650
Fax Number
615-410-7392
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PRO77, ORT99 (Tennessee)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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