Provider Demographics
NPI:1225125354
Name:CAMPBELL, GRETCHEN H (MD)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:H
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4323 CAROTHERS PKWY
Mailing Address - Street 2:SUITE 609
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5914
Mailing Address - Country:US
Mailing Address - Phone:615-550-1800
Mailing Address - Fax:615-550-1801
Practice Address - Street 1:4323 CAROTHERS PKWY
Practice Address - Street 2:SUITE 609
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5914
Practice Address - Country:US
Practice Address - Phone:615-550-1800
Practice Address - Fax:615-550-1801
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD378612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H88764Medicare UPIN