Veracity Neuroscience Llc | |
5050 Poplar Ave Ste 511 Memphis TN 38157-0500 | |
(901) 443-9170 | |
(901) 443-0258 |
Full Name | Veracity Neuroscience Llc |
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Speciality | Psychiatry & Neurology |
Location | 5050 Poplar Ave Ste 511, Memphis, Tennessee |
Authorized Official Name and Position | Mark Steven Ledoux (SOLE OWNER) |
Authorized Official Contact | 9014439170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Veracity Neuroscience Llc 5050 Poplar Ave Ste 511 Memphis TN 38157-0500 Ph: (901) 443-9170 | Veracity Neuroscience Llc 5050 Poplar Ave Ste 511 Memphis TN 38157-0500 Ph: (901) 443-9170 |
NPI Number | 1912565946 |
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Provider Enumeration Date | 06/04/2019 |
Last Update Date | 01/26/2021 |
Certification Date | 01/26/2021 |
Medicare PECOS PAC ID | 9537495163 |
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Medicare Enrollment ID | O20190719001403 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912565946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Mark S Ledoux |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1407813439 PECOS PAC ID: 9133176324 Enrollment ID: I20050330001251 |
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