NPI 1982743001

Gregory Anton Kersulis

Practitioner Neurology Physician Lawrenceburg, TN

Practice location

Address: 124 South Columbia Ave, Lawrenceburg, TN 38464
Phone: (931) 762-7290
Fax: (931) 762-5667
Mailing address: PO Box 558, Lawrenceburg, TN 38464

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence MD0000034672 (TN)

Other Psychiatry & Neurology providers in Tennessee →

Registry record

NPI: 1982743001
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.