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Contact Information

ANN R GORANSON, DPM
1413 HATCHER LN
COLUMBIA, TN38401
 Phone: 931-388-9922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANN R GORANSON · (Female)

NPI # 1780671438
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/28/2005
Last updated 08/24/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004270
  • TN License # DPM368
  • TN Medicaid 3351691
  • Other 4266445 AETNA
  • TN Other 0099015 BLUE CROSS BLUESHIELD TN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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