Organization
NASHVILLE NEUROSURGERY GROUP, PLC
Active
Organization
NASHVILLE NEUROSURGERY GROUP, PLC
Active
Other names
Tennessee Brain and Spine, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY SMITH (ADMINISTRATOR)
(615) 320-0007
Entity
Organization
Contact information
Practice address
330 22ND AVE N, NASHVILLE, TN 37203-1844
(615) 320-0007
(615) 320-0009
Mailing address
330 22ND AVE N, NASHVILLE, TN 37203-1844
(615) 320-0007
(615) 320-0009
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3370096
TENNCARE
TN
01
—
612478900
US DEPT OF LABOR
TN
01
—
DG4593
RAILROAD MEDICARE
TN
Enumeration date
04/18/2007
Last updated
08/18/2014
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