Organization
WEST TENNESSEE NEUROSURGICAL CLINIC
Active
Organization
WEST TENNESSEE NEUROSURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NEBLETT JR. M.D. (PRESIDENT)
(731) 410-2367
Entity
Organization
Contact information
Practice address
1040 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 410-2367
(731) 668-8487
Mailing address
1040 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 410-2367
(731) 668-8487
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710575
—
TN
01
—
4052871
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/14/2006
Last updated
02/26/2008
Update your record
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