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1265 E College St Pulaski TN 38478-4541 | |
| (931) 363-7531 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 1265 E College St, Pulaski, Tennessee |
| Authorized Official Name and Position | Michael Clark (VICE PRESIDENT) |
| Authorized Official Contact | 6153728500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 631 Pulaski TN 38478-0631 Ph: (931) 363-7531 | 1265 E College St Pulaski TN 38478-4541 Ph: (931) 363-7531 |
| NPI Number | 1588934673 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588934673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MD0000047963 (Tennessee) | Primary |
Rodrick R. Gregory, M.d.,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Locker Rd, Pulaski, TN 38478 Phone: 931-363-1414 Fax: 931-363-5743 |