Organization
NEUROMED,INC
Active
Other names
Neuromed
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ZUCCARO (PRESIDENT)
(931) 723-8839
Entity
Organization
Contact information
Practice address
917 MCARTHUR ST, MANCHESTER, TN 37355-2325
(931) 723-8839
(931) 723-1456
Mailing address
PO BOX 627, TULLAHOMA, TN 37388-0627
(931) 723-8839
(931) 723-1456
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3060542
BCBS PROVIDER GRP #
TN
Enumeration date
04/18/2007
Last updated
12/31/2007
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