Organization
TENNESSEE NEUROSURGERY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE COPPEDGE (CREDENTIALING PERSIB)
(931) 206-8631
Entity
Organization
Contact information
Practice address
1707 ALPINE DR, COLUMBIA, TN 38401-3562
(770) 405-5746
(933) 933-7645
Mailing address
1707 ALPINE DR, COLUMBIA, TN 38401-3562
(931) 206-8631
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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