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Contact Information

GREGORY A KERSULIS
124 SOUTH COLUMBIA AVE
LAWRENCEBURG, TN38464
 Phone: 931-762-7290
 Fax: 931-762-5667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for GREGORY A KERSULIS · (Male)

NPI Number 1982743001
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD0000034672
  • TN Medicaid 3157806
Hospital affiliation(s) Not Available
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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