Neurology Diagnostics Group, Pllc | |
1451 Elm Hill Pike Ste 107 Nashville TN 37210-4551 | |
(866) 374-7648 | |
(262) 754-0897 |
Full Name | Neurology Diagnostics Group, Pllc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1451 Elm Hill Pike Ste 107, Nashville, Tennessee |
Authorized Official Name and Position | Chris Blank (CONTRACTING AND CREDENTIALING MANAG) |
Authorized Official Contact | 2628756575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neurology Diagnostics Group, Pllc 626 W Moreland Blvd Waukesha WI 53188-2433 Ph: (866) 374-7648 | Neurology Diagnostics Group, Pllc 1451 Elm Hill Pike Ste 107 Nashville TN 37210-4551 Ph: (866) 374-7648 |
NPI Number | 1760225296 |
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Provider Enumeration Date | 06/13/2024 |
Last Update Date | 06/13/2024 |
Certification Date | 06/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760225296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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