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Gregory Kersulis

NPI 1982743001 · on the registry since 2007

Practice

Address
124 South Columbia Ave
Lawrenceburg, TN 38464
Phone
(931) 762-7290
Fax
(931) 762-5667

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee