| Veracity Neuroscience LLC | |
|
5050 Poplar Ave Ste 511 Memphis TN 38157-0500 | |
| (901) 443-9170 | |
| (901) 443-0258 |
| Full Name | Veracity Neuroscience LLC |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Medicare PECOS PAC ID | 9537495163 |
|---|---|
| Medicare Enrollment ID | O20190719001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912565946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (NU) | Primary |
| Provider Name | Mark S Ledoux |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407813439 PECOS PAC ID: 9133176324 Enrollment ID: I20050330001251 |
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