| Sentinel Neurological Services | |
|
2693 Union Avenue Ext #204 Memphis TN 38112-4403 | |
| (901) 454-0152 | |
| (901) 454-0154 |
| Full Name | Sentinel Neurological Services |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2693 Union Avenue Ext, Memphis, Tennessee |
| Authorized Official Name and Position | Latai Ebrette Grant Brown (CEO) |
| Authorized Official Contact | 9014540152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentinel Neurological Services 2693 Union Avenue Ext #204 Memphis TN 38112-4403 Ph: (901) 454-0152 | Sentinel Neurological Services 2693 Union Avenue Ext #204 Memphis TN 38112-4403 Ph: (901) 454-0152 |
| NPI Number | 1346286853 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 09/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346286853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD0000039381 (Tennessee) | Primary |
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