| Tallahassee Neurology Associates, P.a. | |
|
2868 Mahan Dr Suite 5 Tallahassee FL 32308-5468 | |
| (850) 942-7177 | |
| (850) 656-9443 |
| Full Name | Tallahassee Neurology Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2868 Mahan Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Melinda J Doyle (OFFICE MANAGER) |
| Authorized Official Contact | 8509427177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Neurology Associates, P.a. 2868 Mahan Dr Suite 5 Tallahassee FL 32308-5468 Ph: (850) 942-7177 | Tallahassee Neurology Associates, P.a. 2868 Mahan Dr Suite 5 Tallahassee FL 32308-5468 Ph: (850) 942-7177 |
| NPI Number | 1013013929 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 10/24/2012 |
| Medicare PECOS PAC ID | 7214902725 |
|---|---|
| Medicare Enrollment ID | O20040828000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013013929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Stan J Whitney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942306824 PECOS PAC ID: 4082518022 Enrollment ID: I20031121000474 |
| Provider Name | Richard Everitt Blackburn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558467431 PECOS PAC ID: 4183699697 Enrollment ID: I20111205000729 |
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