# NATIONAL NEURO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053369678
- **Authorized official:** ALAN DEAN CAMPBELL (PRESIDENT)
- **Authorized official phone:** (704) 831-5050

## Contact information

- **Practice address:** 11440 PARKSIDE DR, STE 301, FARRAGUT, TN 37922
- **Practice address phone:** (865) 777-3748
- **Practice address fax:** (865) 777-3827
- **Mailing address:** 2725 WATER RIDGE PKWY, STE 300, CHARLOTTE, NC 28217-4580
- **Mailing address phone:** (704) 831-5050
- **Mailing address fax:** (704) 831-5072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 07/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0446689 | — | TN |