National Provider Identifier Database

RANCE B WILBOURN, MD – NPI #1063676690
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

RANCE B WILBOURN, MD
2215 WEST ST STE 100
GERMANTOWN, TN38138
Phone: 901-440-8482
Fax: 901-440-8582
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for RANCE B WILBOURN

NPI Number 1063676690
Credentials MD
Entity Individual
Enumeration date 07/14/2008
Last updated 12/16/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • KY License #: IP958
  • MS License #: 20766
  • SC License #: 51679
  • TN License #: 56737
  • AR Medicaid: 230387001
  • MS Medicaid: 04520877
  • TN Medicaid: Q063676690
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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