Organization
COMPREHENSIVE NEUROLGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE SCHNEIDER (CEO)
(608) 217-9776
Entity
Organization
Contact information
Practice address
537 STONECREST PKWY, SUITE 102, SMYRNA, TN 37167
(615) 410-4990
(615) 410-4250
Mailing address
1173 PIN OAK CIR, BRENTWOOD, TN 37027-8903
(608) 217-9776
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10370G1506
GROUP MEDICARE PTAN
TN
05
—
1525675
—
TN
01
—
1588944532
GROUP NPI
—
Enumeration date
07/12/2016
Last updated
05/25/2018
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