| Shiloh Neurology Pc | |
|
123 Alcorn Drive Corinth MS 38834 | |
| (662) 594-1799 | |
| (662) 594-8621 |
| Full Name | Shiloh Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 123 Alcorn Drive, Corinth, Mississippi |
| Authorized Official Name and Position | Andrew L Kerby (PROVIDER/OWNER) |
| Authorized Official Contact | 6625941799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Neurology Pc 123 Alcorn Drive Corinth MS 38834 Ph: (662) 594-1799 | Shiloh Neurology Pc 123 Alcorn Drive Corinth MS 38834 Ph: (662) 594-1799 |
| NPI Number | 1649788894 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 12/31/2018 |
| Medicare PECOS PAC ID | 9032470562 |
|---|---|
| Medicare Enrollment ID | O20180226001811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649788894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Andrew L Kerby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104844505 PECOS PAC ID: 7618946591 Enrollment ID: I20041210000482 |
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