| Middle Tennessee Neurology Clinic Pc | |
|
854 W James Campbell Blvd Suite 304 Columbia TN 38401-4659 | |
| (931) 540-4255 | |
| (931) 490-4654 |
| Full Name | Middle Tennessee Neurology Clinic Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 854 W James Campbell Blvd, Columbia, Tennessee |
| Authorized Official Name and Position | Suresh V Chitturi (OWNER) |
| Authorized Official Contact | 9315404255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Tennessee Neurology Clinic Pc 854 W James Campbell Blvd Suite 303 Columbia TN 38401-4659 Ph: (931) 540-4255 | Middle Tennessee Neurology Clinic Pc 854 W James Campbell Blvd Suite 304 Columbia TN 38401-4659 Ph: (931) 540-4255 |
| NPI Number | 1578799029 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578799029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 43851 (Tennessee) | Primary |
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