GREGORY ANTON KERSULIS

LAWRENCEBURG, TN
NPI1982743001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: TN  MD0000034672)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
Mr. GREGORY ANTON KERSULIS
124 SOUTH COLUMBIA AVE
LAWRENCEBURG, TN 38464
Phone number: 931-762-7290
Mailing Address
Mr. GREGORY ANTON KERSULIS
PO BOX 558
LAWRENCEBURG, TN 38464
Phone number: 931-762-7290
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