| Gray Station Neurology, Pc | |
|
5583 Bobby Hicks Hwy Suite 209 Gray TN 37615-3281 | |
| (423) 467-4240 | |
| (423) 467-4260 |
| Full Name | Gray Station Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5583 Bobby Hicks Hwy, Gray, Tennessee |
| Authorized Official Name and Position | Shirley J Kincheloe (BILLING MANAGER) |
| Authorized Official Contact | 4234674240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Station Neurology, Pc 5583 Bobby Hicks Hwy Suite 209 Gray TN 37615-3281 Ph: (423) 467-4240 | Gray Station Neurology, Pc 5583 Bobby Hicks Hwy Suite 209 Gray TN 37615-3281 Ph: (423) 467-4240 |
| NPI Number | 1689944563 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689944563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 34373 (Tennessee) | Primary |
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