MEDICARE: SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831336676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	397 WALLACE RD
Second Line	:	SUITE C305
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8027
Country	:	US
Telephone Number	:	615-333-3115
Fax Number	:

Provider Business Practice Location Address
First Line	:	397 WALLACE RD
Second Line	:	SUITE C305
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8027
Country	:	US
Telephone Number	:	615-333-3115
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	GARY DUNCAN
Credential	:
Telephone Number	:	615-373-7600

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	10/26/2009

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