Provider Demographics
NPI:1578531745
Name:GREGORY, GLADYS R (MD)
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:R
Last Name:GREGORY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:113 TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2663
Mailing Address - Country:US
Mailing Address - Phone:615-339-7578
Mailing Address - Fax:615-230-5454
Practice Address - Street 1:1207 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6503
Practice Address - Country:US
Practice Address - Phone:615-339-7578
Practice Address - Fax:615-230-5454
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN357932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry