| Sibyl Wray Md Neurology Pc | |
|
2060 Lakeside Centre Way Knoxville TN 37922-6591 | |
| (865) 218-6222 | |
| (833) 671-1059 |
| Full Name | Sibyl Wray Md Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2060 Lakeside Centre Way, Knoxville, Tennessee |
| Authorized Official Name and Position | Sibyl Wray (OWNER) |
| Authorized Official Contact | 8652186222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sibyl Wray Md Neurology Pc 2060 Lakeside Centre Way Knoxville TN 37922-6591 Ph: (865) 218-6222 | Sibyl Wray Md Neurology Pc 2060 Lakeside Centre Way Knoxville TN 37922-6591 Ph: (865) 218-6222 |
| NPI Number | 1154522449 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 0244287290 |
|---|---|
| Medicare Enrollment ID | O20050401000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154522449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sibyl E Wray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881662591 PECOS PAC ID: 3870496797 Enrollment ID: I20040129000074 |
| Provider Name | Chanell S Salage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275181547 PECOS PAC ID: 1153755707 Enrollment ID: I20200107002347 |
| Provider Name | Ashley Renee Bonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013521285 PECOS PAC ID: 5496160913 Enrollment ID: I20210216000882 |
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