| Southern Teleneurology Specialists | |
|
312 Canton Stone Dr Franklin TN 37067-2691 | |
| (615) 609-9914 | |
| Not Available |
| Full Name | Southern Teleneurology Specialists |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 312 Canton Stone Dr, Franklin, Tennessee |
| Authorized Official Name and Position | Tia Marie Aryal (OWNER) |
| Authorized Official Contact | 6156099914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Teleneurology Specialists 312 Canton Stone Dr Franklin TN 37067-2691 Ph: (615) 609-9914 | Southern Teleneurology Specialists 312 Canton Stone Dr Franklin TN 37067-2691 Ph: (615) 609-9914 |
| NPI Number | 1740901610 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 2466837620 |
|---|---|
| Medicare Enrollment ID | O20220923002446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740901610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Tia M Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694913 PECOS PAC ID: 0143463513 Enrollment ID: I20130904000460 |
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