| Neurology Clinic, Pc | |
|
8000 Centerview Pkwy Ste 500 Cordova TN 38018-4254 | |
| (901) 255-7155 | |
| Not Available |
| Full Name | Neurology Clinic, Pc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 8000 Centerview Pkwy Ste 500, Cordova, Tennessee |
| Authorized Official Name and Position | Melville Harris (ADMINISTRATOR) |
| Authorized Official Contact | 9012557155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinic, Pc 8000 Centerview Pkwy Ste 300 Cordova TN 38018-4254 Ph: (901) 255-7155 | Neurology Clinic, Pc 8000 Centerview Pkwy Ste 500 Cordova TN 38018-4254 Ph: (901) 255-7155 |
| NPI Number | 1538798558 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Medicare PECOS PAC ID | 8729066352 |
|---|---|
| Medicare Enrollment ID | O20200422002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538798558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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