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Organization

TENNESSEE NEUROLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL L EDGEWORTH MD (MD/PRESIDENT)
(615) 768-4300
Entity
Organization

Contact information

Practice address
300 STONECREST BLVD, SUITE 210, SMYRNA, TN 37167-5688
(615) 768-4300
(615) 768-4400
Mailing address
300 STONECREST BLVD, SUITE 210, SMYRNA, TN 37167-5688
(615) 768-4300
(615) 768-4400

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39356
TN

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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