Provider Demographics
NPI:1326513797
Name:COMPREHENSIVE NEUROLOGY CENTER, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RONA
Authorized Official - Middle Name:
Authorized Official - Last Name:HATTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-410-4990
Mailing Address - Street 1:2548 RIDEOUT LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-7686
Mailing Address - Country:US
Mailing Address - Phone:615-663-9405
Mailing Address - Fax:
Practice Address - Street 1:4601 CAROTHERS PKWY STE 275
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6005
Practice Address - Country:US
Practice Address - Phone:615-410-4990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1588944532OtherGROUP NPI
TN1215273917OtherDANA CARTER, NP
TN1982115796OtherLINDA BONIFIELD, NP
TN1525675Medicaid