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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