Individual
DR. NORMAN LIN MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 S LOCUST AVE, SUITE 103, LAWRENCEBURG, TN 38464-4061
(931) 766-3637
Mailing address
PO BOX 248, LAWRENCEBURG, TN 38464-0248
(931) 766-3637
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48076
TN
2084N0400X
Neurology Physician
A94501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527695
—
TN
01
—
4327130
BCBS TN
TN
01
—
89037343
BCBS AL
AL
Enumeration date
02/07/2008
Last updated
07/10/2012
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