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Organization
NATIONAL NEURO, LLC
Active
Organization
NATIONAL NEURO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DEAN CAMPBELL (PRESIDENT)
(704) 831-5050
Entity
Organization
Contact information
Practice address
11440 PARKSIDE DR, STE 301, FARRAGUT, TN 37922
(865) 777-3748
(865) 777-3827
Mailing address
2725 WATER RIDGE PKWY, STE 300, CHARLOTTE, NC 28217-4580
(704) 831-5050
(704) 831-5072
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446689
—
TN
Enumeration date
05/05/2006
Last updated
07/20/2007
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