Tallahassee Neurological Clinic PA

NPI #1215103437 in Tallahassee, Florida

Provider Information

NPI Number: 1215103437
Entity Type: Organization
Organization Name: Tallahassee Neurological Clinic PA
Primary Specialty: Physician Assistant
Enumeration Date: May 7, 2008
Last Updated: Jan 13, 2009

Practice Location

Address: 1401 CENTERVILLE RD
Address 2: SUITE 300
City: Tallahassee
State: Florida
ZIP Code: 32308-4647
Phone: (850) 878-8121

Authorized Official

Name: ANNETTE WILSON, PA C
Title: PA
Phone: (850) 878-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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