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Organization

NEUROGEVITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CLARK MD (OWNER)
(615) 983-1063
Entity
Organization

Contact information

Practice address
520 HIGHLAND TER STE D, MURFREESBORO, TN 37130-2496
(615) 872-9966
Mailing address
8539 HEIRLOOM BLVD, COLLEGE GROVE, TN 37046-1439

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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