Organization
GRAY STATION NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY J KINCHELOE (BILLING MANAGER)
(423) 467-4240
Entity
Organization
Contact information
Practice address
5583 BOBBY HICKS HWY, SUITE 209, GRAY, TN 37615-3281
(423) 467-4240
(423) 467-4260
Mailing address
5583 BOBBY HICKS HWY, SUITE 209, GRAY, TN 37615-3281
(423) 467-4240
(423) 467-4260
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34373
TN
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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