Organization
NEUROLOGY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIP HARRIS (PRACTICE ADMINISTRATOR)
(901) 255-7155
Entity
Organization
Contact information
Practice address
8000 CENTERVIEW PKWY STE 500, CORDOVA, TN 38018-4254
(901) 747-1111
(901) 747-1137
Mailing address
8000 CENTERVIEW PKWY STE 500, CORDOVA, TN 38018-4254
(901) 747-1111
(901) 255-7168
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3703553
—
TN
Enumeration date
07/10/2006
Last updated
05/26/2023
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