Organization
TENNESSEE SPINE AND NERVE INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEN C HALES RN, CPC (BILLING MANAGER)
(615) 352-3000
Entity
Organization
Contact information
Practice address
28 WHITE BRIDGE RD, SUITE 209, NASHVILLE, TN 37205-1499
(615) 352-3000
(615) 352-6673
Mailing address
28 WHITE BRIDGE RD, SUITE 209, NASHVILLE, TN 37205-1499
(615) 352-3000
(615) 352-6673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725278
—
TN
01
—
4060581
BLUECROSS BLUESHIELD OF TENNESSEE
TN
Enumeration date
06/24/2006
Last updated
07/17/2014
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