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Contact Information

JERALD C GIFFORD
1411 MARK ALLEN LN STE G
MURFREESBORO, TN37129-5556
 Phone: 662-871-7270
 Fax: 844-414-0376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for

NPI Number 1851837652
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/17/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
TN License # CPO2599
TN License # ORT0000000099
TN License # PRO0000000077
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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